Efficacy of a standardized technique of trans-vaginal entry into the peritoneal cavity for post-hysterectomy vaginal vault suspension

2008 ◽  
Vol 19 (10) ◽  
pp. 1393-1398 ◽  
Author(s):  
Amy J. Park ◽  
Beri Ridgeway ◽  
A. Marcus Gustilo-Ashby ◽  
Marie Fidela R. Paraiso ◽  
Mark D. Walters ◽  
...  
Keyword(s):  
Peritoneal Cavity ◽  
Vaginal Vault ◽  
Vaginal Vault Suspension ◽  
Vault Suspension

Sacrospinous Vaginal Vault Suspension: Variations on a Theme

Ob Gyn News ◽  
2007 ◽  
Vol 42 (23) ◽  
pp. 30-31
Author(s):  
PETER SAND ◽  
CHARLES E. MILLER
Keyword(s):  
Vaginal Vault ◽  
Vaginal Vault Suspension ◽  
Vault Suspension ◽  
Variations On A Theme

scholarly journals Utilization and perioperative outcomes of robotic vaginal vault suspension compared to abdominal or vaginal approaches for pelvic organ prolapse

2014 ◽  
Vol 8 (3-4) ◽  
pp. 100 ◽  
Author(s):  
Akshay Sood ◽  
Hanhan Li ◽  
Jesse Sammon ◽  
Florian Roghmann ◽  
Michael Ehlert ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Length Of Stay ◽  
Intraoperative Complications ◽  
Pelvic Organ ◽  
Vaginal Vault ◽  
Hospital Charges ◽  
Perioperative Outcomes ◽  
Vaginal Vault Suspension ◽  
Prolonged Length ◽  
Vault Suspension

Objectives: Robot-assisted vaginal vault suspension (RAVVS) for pelvic organ prolapse (POP) represents a minimally-invasive alternative to abdominal sacrocolpopexy. We measured perioperative outcomes and utilization rates of RAVVS.Methods: RAVVS (n = 2381) and open VVS (OVVS, n = 11080) data were extracted from the 2009-2010 Nationwide Inpatient Sample. Propensity score-matched analysis compared patients undergoing RAVVS or OVVS for complications, mortality, prolonged length-of-stay, and elevated hospital charges.Results: Use of RAVVS for POP increased from 2009 to 2010 (16.3% to 19.2%). Patients undergoing RAVVS were more likely to be white (77.2% vs. 69.6%), to carry private insurance (52.8% vs. 46.0%) and to have fewer comorbidities (Charlson Comorbidity Index [CCI] ≥1 = 17.5% vs. 26.6%). They were more likely to undergo surgery at urban (98.2% vs. 93.7%) and academic centres (75.7% vs. 56.7%). Patients undergoing RAVVS were less likely to receive a blood-transfusion (0.7% vs. 1.8%, p < 0.001) or experience prolonged length-of-stay (9.3% vs. 25.1%, p < 0.001). They had more intraoperative complications (6.0% vs. 4.2%, p < 0.001), and higher median hospital charges ($32 402 vs. $24 136, p < 0.001). Overall postoperative complications were equivalent (17.9%, p = 1.0), though there were differences in wound (0.4% vs. 1.3%, p < 0.001), genitourinary (4.9% vs. 6.5%, p = 0.009), and surgical (6.6% vs. 4.9%, p = 0.007) complications.Conclusions: The increasing use of RAVVS from 2009 to 2010 suggests a growth in the adoption of robotics to manage POP. We show that RAVVS is associated with decreased length of stay, fewer blood transfusions, as well as lower postoperative wound, genitourinary and vascular complications. The benefits of RAVVS are mitigated by higher hospital charges and higher rates of intraoperative complications.

Uterosacral ligament vaginal vault suspension using delayed absorbable monofilament suture

2011 ◽  
Vol 22 (11) ◽  
pp. 1389-1394 ◽  
Author(s):  
Micheline J. Wong ◽  
Azadeh Rezvan ◽  
Narender N. Bhatia ◽  
Tajnoos Yazdany
Keyword(s):  
Uterosacral Ligament ◽  
Vaginal Vault ◽  
Vaginal Vault Suspension ◽  
Monofilament Suture ◽  
Vault Suspension

The Sacrospinous Vaginal Vault Suspension: Critical Analysis of Outcomes

1999 ◽  
Vol 10 (3) ◽  
pp. 155-159 ◽  
Author(s):  
M. Meschia ◽  
F. Bruschi ◽  
F. Amicarelli ◽  
P. Pifarotti ◽  
M. Marchini ◽  
...  
Keyword(s):  
Critical Analysis ◽  
Vaginal Vault ◽  
Vaginal Vault Suspension ◽  
Vault Suspension

ANTERIOR SACROSPINOUS VAGINAL VAULT SUSPENSION FOR PROLAPSE

2000 ◽  
Vol 96 (1) ◽  
pp. 156
Author(s):  
Harvey Winkler ◽  
Peter Sand ◽  
Janet Tomeszko
Keyword(s):  
Vaginal Vault ◽  
Vaginal Vault Suspension ◽  
Vault Suspension
Sign in / Sign up

Export Citation Format

Share Document