Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Annals of Surgical Innovation and Research
Published in: Annals of Surgical Innovation and Research 1/2010

Open Access 01-12-2010 | Research article

An effective and safe innovation for the management of vault prolapse

Author: Rajiv Mahendru

Published in: Annals of Surgical Innovation and Research | Issue 1/2010

Login to get access

Abstract

Objective

Considering the great variety of techniques and disagreement about the ideal route, there is a need for a simple, safe and effective method for the management of vault prolapse.

Study Design

51 cases of post- hysterectomy vault prolapse: 45 following vaginal and 6 after total abdominal hysterectomy were treated surgically by anterior abdominal wall colpopexy with autogenous rectus fascia strips.

Results

Except for minor complaints like vomiting, fever and urinary retention in 3.92% cases each (n = 2 each), no major complications were encountered. Moreover, no recurrence, thus far, on follow-up.

Conclusion

Using autogenous rectus fascia strips in anterior abdominal wall colpopexy is not only simple, cheap and effective method of treating apical prolapse but is also devoid of any serious complications as described with other techniques.
Appendix
Available only for authorised users
Literature
1.
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmesten U, et al.: Standardisation Sub-Committee of the International Continence Society.The standardization of terminology of lower urinary tract function: Report from the standardization sub-committee of the International Continence Society. Neurourol Urodyn 2002, 21: 167–8. 10.1002/nau.10052CrossRefPubMed
2.
Marchionni M, Bracco GL, Checcucci V, Carabaneanu A, Coccia EM, Mecacci E, et al.: True incidence of vaginal vault prolapse. Thirteen years experience. J Reprod Med 1999, 44: 679–84.PubMed
3.
Maher C, Baessler K, Glazener CM, Adams EJ, Hagen S: Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 2004, 4: CD004014.PubMed
4.
Barrington JW, Edwards G: Posthysterectomy vault prolapsed. Int Urogynecol J Pelvic Floor Dysfunct 2000, 11(4):241–5. 10.1007/s001920070033CrossRefPubMed
5.
Hagen S, Stark D, Maher C, Adams E: Conservative management of pelvic organ prolapse in women. Cochrane Database Syst REV 2006, 4: CD003882.PubMed
6.
Girao MJ, Wakavaiach VM, Sartori MG, Baracat EC, de Lima GR: Rectus fascia colpopexy in posthysterectomy vaginal prolapse: analysis of 18 cases. Int Urogynecol J Pelvic Floor Dysfunct 1997, 8(1):25–8. 10.1007/BF01920290CrossRefPubMed
7.
Toozs-Hobson P, Boos K, Cardozo L: Management of vaginal vault prolapse. BJOG 1998, 105: 13–17. 10.1111/j.1471-0528.1998.tb09343.xCrossRef
8.
Geomini PM, Brolmann HA, van Binsbergen NJ, Mol BW: Vaginal vault suspension by abdominal sacral colpopexy for prolapse: a follow up study of 40 patients. Eur J Obstet Gynecol Reprod Biol 2001, 94(2):234–8. 10.1016/S0301-2115(00)00323-7CrossRefPubMed
9.
Mattox F, Stanford EJ, Mills BB: Posterior vaginal sling experience in elderly patients yields poor results. American Journal of Obstetrics and Gynecology 2006, 194(5):1462–6. 10.1016/j.ajog.2006.01.061CrossRefPubMed
10.
Maher CF, Qatawneh AM, Dwyer PL, Carey MP, Cornish A, Schulter PJ: Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol 2004, 190: 20–6. 10.1016/j.ajog.2003.08.031CrossRefPubMed
11.
Lo TS, Wang AC: Abdominal colposacropexy and sacrospinous ligamnent suspension for severe uterovaginal prolapse: a comparison. J Gynecol Surg 1998, 14: 59–64. 10.1089/gyn.1998.14.59CrossRef
12.
Brubaker L, Bump R, Fynes M, Jacquetin B, Karram M, Kreder K, et al.: Surgery for pelvic organ prolapse. In Incontinence. 3rd edition. Edited by: Abrams P, Cardozo L, Khoury S, Wein A. Paris: Health Publications; 2005:1371–1402.
13.
Sze EH, Kohli N, Miklos JR, Roat T, Karram MM: A retrospective comparison of abdominal sacrocolpopexy with Burch colposuspension versus sacrospinous fixation with transvaginal needle suspension for the management of vaginal vault prolapsed and coexisting stress incontinence. Int Urogynaecology J Pelvic Floor Dysfunc 1999, 10: 390–3. 10.1007/s001920050066CrossRef
14.
Jenkins DT, Stuart J, McCoubrie : Vault prolapse: A new approach. ANZ J of Surgery 2008, 62(10):805–8. 10.1111/j.1445-2197.1992.tb06923.xCrossRef
15.
de Lima OA, Valente CA: Rectus fascia colpopexy for complete prolapsed of the vaginal vault after hysterectomy. Int Surg 1987, 72(2):119–23.PubMed
16.
Traiman P, De Luca LA, Silva AA, Antonini R, Dias R, Rodrigues JR: Abdominal colpopexy for complete prolapse of the vagina. Int Surg 1992, 77(2):91–5.PubMed
17.
Flam F, Soderberg MW: New concepts and trends in vaginal prolapse surgery. Acta Obstetricia et Gynecologica Scandinavica 2009, 88(3):251–4. 10.1080/00016340902730342CrossRefPubMed
18.
Thursz AD: A method of treating vaginal vault prolapse. BJOG 2005, 77(11):1041–2.CrossRef
19.
Wille S, Braun M, Heidenreich A, Hofmann R, Engelmann U: Sacral Colpopexy with Concurrent Burch Colposuspension in Patients with Vaginal Vault Prolapse. Urol Int 2006, 76(4):339–344. 10.1159/000092059CrossRefPubMed
20.
Wall I, Hewitt JK: Urodynamic characteristics of women with complete posthysterectomy vaginal vault prolapse. Urology 1994, 44: 336–41. 10.1016/S0090-4295(94)80088-XCrossRefPubMed
21.
Colombo M, Milani R: Sacrospinous ligament fixation and modified McCall culdoplasty during vaginal hysterectomy for advanced uterovaginal prolapse. Am J Obstet Gynecol 1998, 79: 13–20. 10.1016/S0002-9378(98)70245-5CrossRef
22.
Dwyer PL, Fatton B: Bilateral extraperitoneal uterosacral suspension: a new approach to correct posthysterectomy vaginal vault prolapse. International Urogynecology Journal 2008, 19(2):283–92. 10.1007/s00192-007-0435-4CrossRef
23.
Lowenstein L, Dooley Y, Kenton K, Mueller E, Brubaker L: Neural pain after uterosacral ligament vaginal suspension. International Urogynecology Journal 2007, 18(1):109–110. 10.1007/s00192-006-0082-1CrossRef
24.
Barber MD, Visco AG, Weidner AC, Amundsen CL, Bump RC: Bilateral uterosacral ligament vaginal vault suspension with site-specific endopelvic fascia defect repair for treatment of pelvic organ prolapse. Am J Obstet Gynecol 2000, 183(6):1402–10. discussion 1410–1 10.1067/mob.2000.111298CrossRefPubMed
Metadata
Title
An effective and safe innovation for the management of vault prolapse
Author
Rajiv Mahendru
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Annals of Surgical Innovation and Research / Issue 1/2010
Electronic ISSN: 1750-1164
DOI
https://doi.org/10.1186/1750-1164-4-6

Other articles of this Issue 1/2010

Annals of Surgical Innovation and Research 1/2010 Go to the issue

Research article

Internal gallbladder drainage prevents development of acute cholecystitis in a pig model: a randomized study

Research article

An animal paired crossover ePTFE arteriovenous graft model

Research article

Robotics versus laparoscopy - an experimental study of the transfer effect in maiden users

Review

Vascular clamping in liver surgery: physiology, indications and techniques

Research article

Feasibility of breast conservation after neoadjuvant taxene based chemotherapy in locally advanced breast cancer: a Prospective Phase I trial

Research article

A comparison of perioperative outcomes of Video-Assisted Thoracic Surgical (VATS) Lobectomy with open thoracotomy and lobectomy: Results of an analysis using propensity score based weighting