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State of the Art Atlas of Endoscopic Surgery in Infertility and Gynecology
by Nutan JainThis video demonstrates MONARC needle passage technique. Stab incision made in the genitofemoral fold at the level of the clitoris bilaterally. Finger placed in vagina and palpate obturator fascia (obturator internus) from inside vagina. Outside finger palpates tract needle will take through obturator foramen, just lateral to ischiopubic ramus. The index fingers can actually palpate each other. Needle tip is then placed in stab incision. Vaginal index finger guides needle through incision.
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