A study of pelvic ligament strength.

Objectives: To measure the strength at tearing of pelvic ligaments used in the cure of prolapse and urinary incontinence.

Material And Methods: We performed our measurements on pelvis ligaments from cadaveric specimens. We dissected 29 human female pelvis cadavers of which storage conditions differed.

Modified radical vaginal hysterectomy with or without laparoscopic nerve-sparing dissection: a comparative study.

Objective: Nerve-sparing dissection of the lateral portion of the cardinal ligament (paracervical lymphadenectomy) has been recently developed with the goal of reducing the late urinary adverse effects of radical hysterectomy without impairing the outcome. This work has been carried out in order to investigate the influence of additional paracervical lymph node dissection at the time of laparoscopically assisted modified radical hysterectomy on outcome and urinary sequelae.

Methods: A total of 95 patients underwent a modified radical hysterectomy using a combined laparoscopic and vaginal approach since 1991.