Anatomie aspects of vaginal eversion after hysterectomy
JOL DeLancey - American journal of obstetrics and gynecology, 1992 - Elsevier
OBJECTIVE: Our aim was to understand how vaginal eversion after hysterectomy differs
from other forms of prolapse. STUDY DESIGN: The role of individual structures involved in
vaginal support was studied by pelvic dissection of 61 cadavers. Serial cross sections from
13 additional cadavers were examined. RESULTS: The upper third of the vagina (level I) is
suspended from the pelvic walls by vertical fibers of the paracolpium, which is a continuation
of the cardinal ligament. In the middle third of the vagina (level II) the paracolpium attaches …
from other forms of prolapse. STUDY DESIGN: The role of individual structures involved in
vaginal support was studied by pelvic dissection of 61 cadavers. Serial cross sections from
13 additional cadavers were examined. RESULTS: The upper third of the vagina (level I) is
suspended from the pelvic walls by vertical fibers of the paracolpium, which is a continuation
of the cardinal ligament. In the middle third of the vagina (level II) the paracolpium attaches …
