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 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.

scholarly journals Laparoscopic Sacrocolpopexy for the Correction of Vaginal Vault Prolapse

2004 ◽  
Vol 18 (7) ◽  
pp. 620-624 ◽  
Author(s):  
Chandru P. Sundaram ◽  
Ramakrishna Venkatesh ◽  
Jaime Landman ◽  
Carl G. Klutke
Keyword(s):  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Laparoscopic Sacrocolpopexy ◽  
Vault Prolapse
Sign in / Sign up

Export Citation Format

Share Document