PMC6135155_01
A schematic diagram of the operation. Freeing of cardinal ligaments (blue bars) from their lateral cervical attachments then transposition of both ligaments anterior to the cervix (black disc)
GMIT-7-36-g001.jpg
PMC6135155_02_GMIT-7-36-g001.jpg
F1
The patient underwent anterior transposition of cardinal ligaments and posterior colporrhaphy [Figures 1 and 2] and was discharged home on day 1 postoperative.
The steps of the anterior transposition of cardinal ligaments. (a) The cervix is grasped by a single-toothed tenaculum. (b) Anterior transverse incision at the level of cervicovaginal junction, dissection and elevation of the bladder, then exposure of left and right cardinal ligaments. (c) Freeing of left and right cardinal ligaments. (d) Approximation of cardinal ligaments and fixation to the cervical tissue
GMIT-7-36-g002.jpg
PMC6135155_02_GMIT-7-36-g002.jpg
F2
The patient underwent anterior transposition of cardinal ligaments and posterior colporrhaphy [Figures 1 and 2] and was discharged home on day 1 postoperative.
PMC6135155_02
A schematic diagram of the operation. Freeing of cardinal ligaments (blue bars) from their lateral cervical attachments then transposition of both ligaments anterior to the cervix (black disc)
GMIT-7-36-g001.jpg
PMC6135155_02_GMIT-7-36-g001.jpg
F1
The patient underwent anterior transposition of cardinal ligaments and posterior colporrhaphy [Figures 1 and 2] and was discharged home on day 1 postoperative.
The steps of the anterior transposition of cardinal ligaments. (a) The cervix is grasped by a single-toothed tenaculum. (b) Anterior transverse incision at the level of cervicovaginal junction, dissection and elevation of the bladder, then exposure of left and right cardinal ligaments. (c) Freeing of left and right cardinal ligaments. (d) Approximation of cardinal ligaments and fixation to the cervical tissue
GMIT-7-36-g002.jpg
PMC6135155_02_GMIT-7-36-g002.jpg
F2
The patient underwent anterior transposition of cardinal ligaments and posterior colporrhaphy [Figures 1 and 2] and was discharged home on day 1 postoperative.
Location of the cervi x 2 years postoperation
GMIT-7-36-g003.jpg
PMC6135155_02_GMIT-7-36-g003.jpg
F3
At 6, 12, 18, and 24-month follow-up visits, she reported the absence of symptoms or any perineal bulge [Figure 3].