Promedon ANCORIS POP Instructions D'utilisation page 7

j. Once the TAS have been correctly placed, two stitches are made upon
the vaginal apex bilaterally with the sutures coming from the TAS and
the half circle surgical eye needle provided. The depth of suturing in the
attachment points should be deep enough to avoid later tearing.
k. The incision made in the posterior vaginal wall is closed halfway. At
this point, the vaginal apex is guided down bilaterally with the help of
the index finger and 3 running knots and 2 blocking knots towards the
sacrospinous ligaments, avoiding excessive tension.
l. Standard closure of the vaginal wall is completed.
m. Final antisepsis is performed. Digital rectal examination and placement of
a vaginal tampon is recommended.
Note: The plastic knot pusher and its protective tube are included in the
kit in order to facilitate the knotting procedure of the TAS if the surgeon
considers it advisable.
Postoperative care and therapy are at the surgeon's discretion.
In the event that removal of the implant is required, please note:
If implant removal is necessary due to pain, we recommend trying to cut all
the sutures fixating the uterus or vaginal vault first.
If nerves or vessels behind the sacrospinous ligaments are persistently
affected after 6-8 weeks, the removal of the TAS from the sacrospinous
ligament might be necessary. The risks of this procedure may be higher than
the benefits resulting from this removal, so each case should be assessed
and decided at the surgeon's discretion.
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