Full-thickness vascularized vaginal flap as the fixation point in the surgical treatment of vaginal vault prolapse

2021 ◽  
Author(s):  
Dmitry Shkarupa ◽  
Nikita Kubin ◽  
Olga Staroseltseva
Keyword(s):  
Surgical Treatment ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Full Thickness ◽  
Vault Prolapse

scholarly journals Surgical treatment of vaginal vault prolapse

1970 ◽  
Vol 2 (2) ◽  
pp. 3-8
Author(s):  
MIJ Withagen ◽  
RMF Van der Weiden ◽  
ME Vierhout
Keyword(s):  
Surgical Treatment ◽  
Social Functioning ◽  
Elderly Women ◽  
Surgical Techniques ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Prolapse Surgery ◽  
Laparoscopic Sacrocolpopexy ◽  
Vault Prolapse ◽  
Tension Free

Vaginal vault prolapse can cause limitations in physical and social functioning. This problem will enhance with the increasing age in women. New surgical techniques, like tension free vaginal mesh and laparoscopic sacrocolpopexy reduce surgical strain in patients and make prolapse surgery achievable in elderly women. doi:10.3126/njog.v2i2.1446 N. J. Obstet. Gynaecol 2007 Nov-Dec; 2 (2): 3 - 8

scholarly journals Vaginal vault reconstruction and apical sling in the treatment of post-hysterectomy prolapsE

2017 ◽  
Vol 66 (1) ◽  
pp. 46-55
Author(s):  
Dmitry D Shkarupa ◽  
Alexandr A Bezmenko ◽  
Nikita D Kubin ◽  
Ekaterina A Shapovalova ◽  
Alexey V Pisarev
Keyword(s):  
Surgical Treatment ◽  
De Novo ◽  
Uterine Prolapse ◽  
Operation Time ◽  
Vaginal Wall ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Sacrospinous Fixation ◽  
Apical Sling

Introduction. Frequency of vaginal vault prolapse (VVP) requiring surgical repair is up to 6-8% and 11.6-45% in patients with prior hysterectomy for uterine prolapse. Reported recurrence rate of VVP following different techniques of surgical correction is up to 10%.Objective: to evaluate the effectiveness of the novel technique: bilateral sacrospinous fixation of reconstructed vaginal wall (neocervix) by monofilament polypropylene apical sling (Urosling 1; Lintex, Saint Petersburg, Russia) in surgical treatment of VVP.Methods. This prospective study involved 61 women suffering from post-hysterectomy prolapse. To evaluate the results of surgical treatment, data of a vaginal examination (POP-Q), uroflowmetry, bladder ultrasound, validated questionnaires were used. All listed parameters were determined before the surgery and at control examinations in 1, 6, 12 months after the treatment.Results. Mean operation time was 35 minutes. No cases of intraoperative damage to the bladder/rectum, as well as clinically significant bleeding were noted. 12-months anatomical cure rate (≤ stage I, POP-Q) was 100%, 94.4% and 100% for apical, anterior and posterior vaginal compartments, respectively. At 1 month of follow-up stress urinary incontinence de novo and urgency de novo were noted in 6.5% and 4.9%, respectively. Statistically significant (p < 0.05) improvement in peak flow rate was observed according to uroflowmetry. Comparison of the scores by the questionnaires revealed a significant improvement in the quality of life in the postoperative period.Conclusion. Bilateral sacrospinous fixation of reconstructed vaginal wall (neocervix) by monofilament polypropylene apical sling appears to be effective and safe method for treatment patients with vaginal vault prolapse.

Vaginal Vault Prolapse After Nonsurgical and Surgical Treatment of Müllerian Agenesis

2002 ◽  
Vol 99 (5, Part 2) ◽  
pp. 947-949
Author(s):  
Joseph Schaffer ◽  
Christopher Fabricant ◽  
Bruce R. Carr
Keyword(s):  
Surgical Treatment ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Müllerian Agenesis

Surgical Treatment of Vaginal Vault Prolapse

2012 ◽  
Vol 18 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Jennifer L. Klauschie ◽  
Jeffrey L. Cornella
Keyword(s):  
Surgical Treatment ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse

scholarly journals Abdominal sacrocolpopexy in surgical treatment of complete vaginal vault prolapse after hysterectomy

2008 ◽  
Vol 61 (11-12) ◽  
pp. 620-624
Author(s):  
Srdjan Djurdjevic ◽  
Tihomir Vejnovic ◽  
Aleksandar Curcic ◽  
Ljiljana Mladenovic-Segedi ◽  
Marko Maksimovic
Keyword(s):  
Surgical Treatment ◽  
Life Quality ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Surgical Reconstruction ◽  
Vault Prolapse ◽  
Vaginal Repair ◽  
Abdominal Incision ◽  
Abdominal Sacrocolpopexy ◽  
Gynecology And Obstetrics

Introduction The vaginal vault prolapse after hysterectomy is a complex disorder, which can be associated with the prolapse of anterior or posterior vaginal wall or cystorectocele. The exact incidence is unknown, and is within the range from 1 - 43% of operated patients. In order to achieve the complete surgical reconstruction of the pelvic floor disorder, a surgeon must have good knowledge of normal anatomic relations of pelvic organs. Material and methods Twenty-nine women with the vaginal vault prolapse after hysterectomy were operated at Clinic for Gynecology and Obstetrics in Novi Sad during the period from 1995 - 2007. After standard preoperative procedures, positioning of the patient and inferior medial abdominal incision, the supportive graft made of non-resorptive materials was fixed to the vaginal fornix and sacral periost from the promontory to the level of S 3-4 vertebrae. Results The average age of the patients was 61.4 years. The following supportive materials were used: mersilen mesh (16), allograft made of m. rectus abdominis fascia (5), prolen (4), fascia lata strip (2) and common Silk sutures (2). Additional operations (Moschowitz Douglasoraphy, Kelly-Marion anterior vaginal repair, colpoperineoplasty and Burchcolposuspension) were performed in 20 (68.9%) patients. Discussion There were 7 (23.8%) postoperative complications. The erosion of mersilen mesh was detected in 2 (6.8%) patients, and recurrence of vaginal vault prolaps and cystorectocele in 3 (10.2%) patients. According to other authors, the erosion of synthetic materials occurs in about 3.4%, and recurrence of vaginal vault prolaps in 0-22% of operated patients. Conclusion The complete vaginal vault prolaps after hysterectomy is a complex anatomic disorder which has a great impact on the life quality and significantly disturbs patient's psychosocial sphere. Surgical treatment involves abdominal or vaginal access and is planned individually for each patient.

An unusual complication following sacrospinous fixation for vaginal vault prolapse

2021 ◽  
Vol 259 ◽  
pp. 225-226
Author(s):  
Vandna Verma ◽  
Kristina Savickaite ◽  
Smita Rajshekhar ◽  
Ashish Pradhan
Keyword(s):  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Unusual Complication ◽  
Vault Prolapse ◽  
Sacrospinous Fixation
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