Figure legends:
Figure 1. Hand through the incised isthmocele along the umbilical cord.
Figure 2. Separating the placenta posteriorly with hand and identifying
the posterior defect of the uterus and the sheared boundaries of
posterior superior (PS) and posterior inferior (PI) muscle layers.
Figure 3. Application of the Green Armytage to posterior superior (PS)
and posterior inferior (PI) muscle layers.
Figure 4. Insertion of the left hand index /middle fingers through the
cervix to reach the anterior fornix.
Figure 5. Lifting the cervix along the anterior fornix to facilitate
identification and grasping of the anterior (AI) muscle at the base of
the ischiocele, closer to the internal os, with the Green Armytage.
Figure 6. Application of Green Armytage including at the anterior
superior muscle(AS) of the defect to facilitate repair of the anterior
and posterior wall defects.