Category Archives: Ob/Gyn

PREPRINT RELEASE: Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele


Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele
Massachusetts General Hospital

Lori R. Berkowitz, MD
Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology
Harvard Medical School

Patricia L. Hudson, MD
Female Pelvic Medicine and Reconstructive Surgery Fellow
Harvard Medical School

In this case, Dr. Berkowitz and Dr. Hudson perform a site-specific posterior colporrhaphy at MGH. The patient is a 38-year-old female who presented with fecal incontinence, constipation, and stress urinary incontinence, and was found to have stage II posterior vaginal wall prolapse. She desired definitive surgical management of her prolapse and opted for posterior vaginal repair.

PREPRINT RELEASE: Vaginal Hysterectomy, Uterosacral Ligament Suspension, and Excision of Redundant Vaginal Tissue


Vaginal Hysterectomy, Uterosacral Ligament Suspension, and Excision of Redundant Vaginal Tissue
Romblon Provincial Hospital

Col. Arthur C. Wittich, DO
Fort Belvoir Community Hospital (Retired)
World Surgical Foundation

In this case, Dr. Wittich performs a vaginal hysterectomy, a high uterosacral ligament suspension, a round ligament suspension to the distal vaginal cuff, and a reduction of anterior and posterior redundant vaginal tissue. This was performed during a mission to the Philippines with the World Surgical Foundation.

PREPRINT RELEASE: Female Foley Catheter Insertion


Female Foley Catheter Insertion
Romblon Provincial Hospital

Col. Arthur C. Wittich, DO
Fort Belvoir Community Hospital (Retired)
World Surgical Foundation

While on a surgical mission in the Philippines with the World Surgical Foundation, Dr. Wittich preps a patient for a hysterectomy and performs a female Foley catheter insertion.

PREPRINT RELEASE: Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy


Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy
Massachusetts General Hospital

Liliana G. Bordeianou, MD
Associate Professor of Surgery
Harvard Medical School

Emily C. Von Bargen, DO
Female Pelvic Medicine and Reconstructive Surgery Associate Fellowship Director
Harvard Medical School

The patient in this case is an 87-year-old female with rectal prolapse. She had minimal constipation and minimal incontinence, and anorectal manometry revealed low rectal pressures. Gynecological POP-Q exam showed mostly posterior prolapse and some apical prolapse, and urodynamic testing was negative. Defecography revealed an enterocele. Here, Dr. Bordeianou and Dr. Von Bargen discuss the decision-making process when treating rectal prolapse and perform a laparoscopic suture rectopexy with culdoplasty, vaginal wall repair, and perineorrhaphy with levator plication.

PREPRINT RELEASE: Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy


Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy
Massachusetts General Hospital

Emily C. Von Bargen, DO
Female Pelvic Medicine and Reconstructive Surgery Associate Fellowship Director
Harvard Medical School

Patricia L. Hudson, MD
Female Pelvic Medicine and Reconstructive Surgery Fellow
Harvard Medical School

Lori R. Berkowitz, MD
Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology
Harvard Medical School

This is the case of a 75-year-old multiparous female with stage 3 uterovaginal prolapse. Here, Dr. Emily Von Bargen performs a vaginal hysterectomy, uterosacral ligament suspension, anterior repair, and perineorrhaphy in order to alleviate this patient’s symptoms.