French term or phrase: fascia de Alban (fascia de Halban). Hi, I believe there is a typo in the French and it should be “fascia de Halban”. The Halban cul-de-sac closure is a vertical closure of the peritoneum that . of the graft (synthetic nonabsorbable material or homologous fascia) to the sacrum. toward the pubic bone, the pubo-cervical fascia (Halban’s fascia) 12 close the 2nd part of the vagina is de facto included in the fascia which is.

Author: Toshura Daigis
Country: Sao Tome and Principe
Language: English (Spanish)
Genre: Photos
Published (Last): 8 September 2008
Pages: 210
PDF File Size: 12.89 Mb
ePub File Size: 17.42 Mb
ISBN: 648-9-61939-232-9
Downloads: 50264
Price: Free* [*Free Regsitration Required]
Uploader: Nikogami

fascia de Alban (fascia de Halban)

In patients who have stage I to stage IV uterovaginal prolapse, adjunct vaginal apex support may be necessary. As far as sexual physiology is concerned, the authors review the various clinical experiments that have been carried out throughout the world medical literature which shows that there is an erogenous zone in the upper anterior part of the vagina and they believe that Halban’s facia, which is homologous with the corpus spongiosus, is the site of origin of vaginal orgasm.

There is no need to incorporate the round ligaments to the cuff, because they do not aid in hablan suspension and, in fact, may draw the ovaries to a position overlying the vaginal apex, predisposing the patient to dyspareunia. Politics in the Pelvis Rascia. The anatomy of the pelvic floor. Invest Urol ; Understanding the concept of perineology. ahlban

[The reality and usefulness of Halban’s fascia].

Shortening can be accomplished at the beginning of the procedure as long as the anterior cul-de-sac has been entered and the bladder retracted. Also discussed are techniques to close the cul-de-sac of Douglas that are used to prevent the formation of an enterocele and prevent apical descent.

Surg Gynecol Obstet The normal vaginal axis lies almost horizontally and superior to the levator plate. An important consideration in selecting a procedure is whether the patient will remain sexually active.

Curr Opin Obstet Gynecol ; 6: You can request verification for native languages by completing a simple application that takes only a couple of minutes. Transvaginal double purse-string closure. They call for strict attention to attaching the uterosacral and cardinal ligaments to the vaginal membrane.


Preventing posthysterectomy vaginal vault prolapse and enterocele during vaginal hysterectomy. Close and don’t show again Close. It also accomplishes high peritoneal ligation, which is an important step in closing a deep cul-de-sac.

At the time of transvaginal hysterectomy, the cul-de-sac can be closed as follows. Therefore, the decision to be taken by the Board does not depend on question 2 and this question must not be referred to the EBA.

Atlas of Gynecologic Surgery. Preventing vaginal vault prolapse by supporting the vaginal cuff is an essential part of hysterectomy, whether abdominal or vaginal. Transvaginal hysterectomy and transperitoneal abdominal procedures allow the surgeon to evaluate the cul-de-sac and prevent the formation of an enterocele. Therefore, every effort should be made to reattach these fibers to the vaginal vault at the time of hysterectomy to prevent posthysterectomy prolapse.

Moreover, the posology is of no concern in the present invention. BMC Surg ; 8: Clinical significance of sacral and pudendal nerve anatomy. Such a need can only exist if the decision to be taken hlaban the Board depends on the question that is to ahlban referred to the EBA and if the Board cannot decide itself without difficulty the question that is to be referred.

This is aided by upward traction of the specimen through the use of Fsacia clamps arrows. This condition, although diagnosed intraoperatively, must be repaired.

Le Fascia de Halban – Jean-Jacques Vasseur – Google Books

Encyclopedia of Forensic and Legal Medicine https: If the indication for hysterectomy includes uterovaginal prolapse, these ligaments must be hqlban to eliminate any laxity that is present. Moreover, whereas A 53 c mentions the products, in particular substances or compositions, A 54 4 and A 54 5 only mention substances or compositions. Lateral view attaching sigmoid to vagina.

However, being inserted into the body and having halbn physiological interaction with the body, the strip had to be considered to be a composition. A strip 1 made from biocompatible material for a use in the treatment of female urinary incontinence, wherein the treatment comprises the following steps: Every attempt should be made to restore the anatomy to its normal position.


Reviewing applications can be fun and only takes a few minutes. Return to KudoZ list. Outcomes study— sacrospinous fixations over a year period, a study of the cure rates. Peritoneal closure is complete. However, the use of sacrospinous fixation as an adjunct procedure will prevent further vault prolapse. By securing the pedicles to the lateral angles of the vagina, the vault is supported and the lateral angles of the vaginal cuff are readily sutured.

However, the result remains restoration of the vagina to its normal anatomic position. Cooper ligament repair of vaginal vault prolapse twenty-eight years later. A technique for modified McCall culdoplasty at the time of abdominal hysterectomy. However, if a deep cul-de-sac or obvious enterocele is not repaired, future enterocele formation and vaginal vault prolapse may occur. Not every patient who undergoes hysterectomy is a candidate for these procedures.

As soon as the uterus and cervix are removed, the uterosacral pedicles are sewn to the lateral angles of the vagina.

Vaginal vault prolapse poses a challenge to the gynecologic surgeon, as evidenced by the many historic attempts to repair this condition surgically. Claim 1 of the first auxiliary request before the Board was identical to claim 1 of request A and read in English translation: Several methods of vaginal fixation at the time of hysterectomy are currently recognized.

If the uterosacral-cardinal ligaments need shortening but hysterectomy must be performed without entering the anterior cul-de-sac, the shortening steps should be performed after the uterus tascia removed and the bladder and ureters are elevated. This summary involves only a few of the anatomically corrective operations for supporting the vaginal vault. Consequently, the subject-matter of claim 1 of request 1 lacks novelty with respect to D1.

Preventing recurrence is one of the goals in reconstructive surgery for vaginal vault prolapse.