Figure 4.

The concertina method. The “concertina” method of re-attaching ballooned vaginal epithelium to the underlying fascial layer. Using a continuous (or interrupted) 00 vicryl suture, a suture “e” is placed 2 mm from the vaginal edge and sutured deep into the fascia “f”. The 1^st and 2^nd fingers are placed around the suture to push the epithelium down onto the fascia “f” after each suture. Then the suture is placed through the contralateral fascia, then into the vaginal edge “e”. The vaginal edge “e” is pushed down onto “f” as before, and the suture is continued. (A) The concertina method. Published with permission from Peter Petros: Personal Collection. (B) The concertina method. Reused from Petros P. The female pelvic floor function, dysfunction and management according to the Integral Theory. 3^rd ed. Heidelberg: Springer Berlin; 2010. With permission from Peter Petros; retains ownership of the copyright.