PMC10071871_01
Autologous fascia lata (AFL) pickup from the right leg
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F1
The lower limb was positioned on a leg holder roller with semi-bent thigh and flexed knee [Figure 1]. The sterile field was prepared from the thigh to the foot. The greater trochanter and lateral femoral condyle were identified and marked.
The incision moved down the fascia lata, hemostasis was performed, and the fascia was exposed
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F2
Two autografts were harvested: the first from the posterior region (8 cm x 4 cm) and the second from the anterior region (10 cm x 3 cm) [Figure 2].
The anterior graft was sutured to the anterior vaginal cuff wall through 3-5 interrupted sutures in Vicryl
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F3
The anterior graft was sutured to the anterior vaginal cuff wall through 3-5 interrupted sutures in Vicryl and one suture in Ethibond to the vertebral anterior longitudinal ligament after proper tightened [Figures 3 and 4].
The peritoneum was closed by overlying the mesh
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F4
The anterior graft was sutured to the anterior vaginal cuff wall through 3-5 interrupted sutures in Vicryl and one suture in Ethibond to the vertebral anterior longitudinal ligament after proper tightened [Figures 3 and 4].