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MODIFIED GILLIAM UTERINE SUSPENSION USING LAPAROSCOPIC VISUALIZATION

United States Air Force Hospital. Mather AFB. Sacramento, California.

In recent years, uterine suspension his become an infrequent operation on most gynecologic services. While numerous types of suspensions have been described, the round ligament fixation to the rectus sheath described by Gilliam is commonly employed because of its ease, effectiveness, and low complication rate. Laparoscopic visualization of the pelvic organs can allow this type of suspension, requiring only superficial incisions down to the rectos fascia, and thereby markedly reducing the procedure's morbidity and the patient's hospitalization.

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				T. Matsumoto, M. Nishi, M. Yokota, and M. Ito LAPAROSCOPIC TREATMENT OF UTERINE PROLAPSE DURING PREGNANCY Obstet. Gynecol., May 1, 1999; 93(5): 849 - 849. [Full Text] [PDF]