Abdominal Sacrocolpopexy for the Correction of Vaginal Vault Prolapse

2004 ◽  
pp. 677-689
Author(s):  
J Winters ◽  
Richard Vanlangendonck ◽  
R Cespedes
Keyword(s):  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Abdominal Sacrocolpopexy

scholarly journals Sacrocolpopexy in management of vaginal vault prolapse

2016 ◽  
Vol 10 (4) ◽  
Author(s):  
Javed Iqbal ◽  
Fauzia Nausheen ◽  
Fozia Ali Bhatti ◽  
Arif Tajammul Khan ◽  
Shahida Sheikh
Keyword(s):  
Operation Time ◽  
Abdominal Hysterectomy ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Abdominal Sacrocolpopexy ◽  
Estimated Blood Loss ◽  
One Year ◽  
Study Setting

Aims & Objectives: To review the efficacy of Sacrocolpopexy in the management of vaginal vault prolapse Study Design: Interventional study. Setting & Population: Department of Obstetrics & Gynaecology, Jinnah Hospital, Lahore. Women with vaginal vault prolapse after hysterectomy. Methods and Main-outcome measures: Abdominal Sacrocolpopexy using proline mesh. Follow-up in these patients were carried out at one week, four weeks, six months, and one year. Results: Sacrocolpopexy was carried out in ten patients for vaginal vault prolapse after vaginal (6) and abdominal hysterectomy (4). The mean age was 49.8 years. Parity was between P3 - P6 (Mean parity 4.3). Mean operation time was 79.3 minutes. Estimated blood loss was less than 200m1. No intra-operative or post-operative complications occurred in any case. Conclusion: Abdominal sacrocolpopexy is effective and safe in the treatment of vaginal vault prolapse. This procedure has high success rate in correcting prolapse without a time dependent decrease in efficacy.

scholarly journals Vaginal Vault Prolapse

2009 ◽  
Vol 2009 ◽  
pp. 1-9 ◽  
Author(s):  
Azubuike Uzoma ◽  
K. A. Farag
Keyword(s):  
Negative Impact ◽  
Surgical Techniques ◽  
Aging Population ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Clear Understanding ◽  
Vault Prolapse ◽  
Ureteric Injury ◽  
Sacrospinous Fixation ◽  
Abdominal Sacrocolpopexy

Introduction. Vaginal vault prolapse is a common complication following vaginal hysterectomy with negative impact on women's quality of life due to associated urinary, anorectal and sexual dysfunction. A clear understanding of the supporting mechanism for the uterus and vagina is important in making the right choice of corrective procedure. Management should be individualised, taking into consideration the surgeon's experience, patients age, comorbidities, previous surgery and sex life.Result. Preexisting pelvic floor defect prior to hysterectomy is the single most important risk factor for vault prolapse. Various surgical techniques have been advanced at hysterectomy to prevent vault prolapse. Studies have shown the McCall's culdoplasty under direct visualisation to be superior. Vault prolapse repair rely on either the use of patient's tissue or synthetic materials and can be carried out abdominally or vaginally. Sacrospinous fixation and abdominal sacrocolpopexy are the commonly performed procedures, with literature in favour of abdominal sacrocolpopexy over sacrospinous fixation due to its reported higher success rate of about 90%. Other less commonly performed procedures include uterosacral ligament suspension and illiococcygeal fixation, both of which are equally effective, with the former having a high risk of ureteric injury. Colpoclesis will play a greater role in the future as the aging population increases. Mesh procedures are gaining in popularity, and preliminary data from vaginal mesh procedures is encouraging. Laparoscopic techniques require a high level of skill and experience. There are many controversies on the mechanism of prolapse and management techniques, which we have tried to address in this article.Conclusion. As the aging population increases, the incidence of prolapse will also rise, older techniques using native tissue will continue, while new techniques using the mesh needs to be studied further. The later may well be the way forward in future.

Are the Effectiveness of Minimally Invasive Sacrocolpopexy Similar with Abdominal Sacrocolpopexy for the Treatment of Vaginal Vault Prolapse?

2017 ◽  
Vol 1 (1) ◽  
pp. 36-41
Author(s):  
Sinharib ÇİTGEZ ◽  
Çetin DEMİRDAĞ ◽  
Bülent ÖNAL ◽  
Fethi Ahmet TÜREGÜN ◽  
Oktay DEMİRKESEN ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Abdominal Sacrocolpopexy

Comparison of Laparoscopic and Abdominal Sacrocolpopexy for the Treatment of Vaginal Vault Prolapse

2007 ◽  
Vol 21 (8) ◽  
pp. 926-930 ◽  
Author(s):  
Kenneth C. Hsiao ◽  
Kalyan Latchamsetty ◽  
Fred E. Govier ◽  
Paul Kozlowski ◽  
Kathleen C. Kobashi
Keyword(s):  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Abdominal Sacrocolpopexy

scholarly journals COMPARISON OF LAPAROSCOPIC AND ABDOMINAL SACROCOLPOPEXY FOR POST HYSTERECTOMY VAGINAL VAULT PROLAPSE REPAIR: META ANALYSIS

2021 ◽  
Vol 5 (2) ◽  
pp. 33-44
Author(s):  
Fariska Zata Amani ◽  
Azami Denas ◽  
Hari Paraton ◽  
Gatut Hardianto ◽  
Eighty Mardiyan K ◽  
...  
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Clinical Outcomes ◽  
Meta Analysis ◽  
Length Of Hospital Stay ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Abdominal Sacrocolpopexy ◽  
Significant Difference

Objective: Comparing the clinical outcomes of laparoscopic and abdominal sacrocolpopexy in vaginal vault prolapse post-hysterectomy’s patient. Method: Systematic search data is performed on medical database (PUBMED, Cochrane Database) using keyword:(1) vault prolapse [title] AND (2) laparoscopic[title] AND sacrocolpopexy[title]. Inclusion criteria:(1) randomized controlled trial and observational studies, (2) women with vaginal vault prolapse post hysterectomy, (3) intervention studied: laparoscopic (LSC) and abdominal sacrocolpopexy (ASC), (4) the entire fully accessible papers can be accessed and data can be accurately analyzed. Comparison about clinical outcomes of LSC and ASC was performed using narrative analysis and meta-analysis (RevMan). Results: Three studies compared clinical outcomes of LSC and ASC with a total of 243 samples (118 in LSC and 125 in ASC group). There was no significant difference in the incidence of complications between LSC and ASC (OR 1.10;95%CI 0.58-2.08). LSC was associated with less blood loss (MD 111.64 mL,95%CI-166.13 - -57.15 mL) and shorter length of hospital stay (MD -1.82 days;95%CI -2.52- -1.12 days) but requires a longer operating time (MD 22.82 minutes,95%CI 0.43-45.22 minutes). There was no statistically significant difference to anatomical outcomes (measurement of point C on POP-Q), subjective outcomes measured by PGI-I and reoperation numbers (repeat surgical interventions) for prolapse recurrence between LSC and ASC groups after one year of follow-up. Conclusions: LSC showed similar anatomic results compared to ASC with less blood loss and shorter length of hospital stay in management patient with vaginal 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.

scholarly journals Outcome of Abdominal Sacrocolpopexy for Post Hysterectomy Vaginal Vault Prolapse

2017 ◽  
Vol 31 (2) ◽  
pp. 90-93
Author(s):  
Liza Chowdhury ◽  
Nurun Nahar Khanam ◽  
Junnu Rayen Janna
Keyword(s):  
Postoperative Complications ◽  
Prospective Study ◽  
Synthetic Mesh ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Anterior Longitudinal Ligament ◽  
Vault Prolapse ◽  
Patients Satisfaction ◽  
Abdominal Sacrocolpopexy

Objective (s): The aim of this study was to explore the outcome of abdominal sacrocolpopexy for the correction of post hysterectomy vaginal vault prolapse.Materials and Methods: This prospective study was done over the period of five years from 2011 to 2015 where twenty patients of vault prolapse were subjected to abdominal sacrocolpopexy. Procedure was completed by securing the vaginal apex to the anterior longitudinal ligament of sacrum using synthetic mesh. Intra and postoperative complications and patients’ satisfaction was assessed.Results: No post-operative serious complications were reported during follow up period. The vaginal vault was well supported in all patients with no recurrent vault prolapse. One patient had mild asymptomatic rectocele. No mesh complication was found during the follow up period.Conclusion: The abdominal sacrocolpopexy achieves excellent correction of post hysterectomy vaginal vault prolapse with minimal morbidity.Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 90-93

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