Ileococcygeus Suspension

This is likely the least complex means for restoring vaginal vault support. Permanent, monofilament sutures are placed bilaterally between the apical lateral vaginal wall and the ileococcygeus muscle anterior to the ischial spine. Sutures can be placed either submucosally after dissection, or transmucosally without dissection. We typically reserve this for patients who are not significantly physically active and are candidates for a rapid vaginal procedure for isolated vaginal vault prolapse. A requirement for this procedure is sufficient vaginal length and caliber such that the vaginal sidewall reaches the ileococcygeus muscle where the suture will be placed. We will typically place 1 0-Prolene suture at either apical sulcus and tie transmucosally. We are always concerned about the development, or persistence, of central vault prolapse. Other procedures are more effective in restoring appropriate vaginal depth. Nevertheless, this procedure has been demonstrated in a randomized manner to be an effective means for restoring vaginal vault support.1 The need for associated reconstructive or antiincontinence procedures may limit the presumed simplicity of this procedure.

Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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