Vaginal axis after abdominal sacrocolpopexy versus vaginal sacrospinous fixation—a randomized trial

2019 ◽  
Vol 38 (4) ◽  
pp. 1142-1151 ◽  
Author(s):  
Cassia Raquel Teatin Juliato ◽  
Luiz Carlos Santos‐Junior ◽  
Edilson Benedito Castro ◽  
Sergio Sanjuan Dertkigil ◽  
Luiz Gustavo Oliveira Brito
Keyword(s):  
Randomized Trial ◽  
Sacrospinous Fixation ◽  
Abdominal Sacrocolpopexy ◽  
Vaginal Sacrospinous Fixation

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 Intermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fixation: a comparative study

2019 ◽  
Vol 45 (5) ◽  
pp. 999-1007
Author(s):  
Bahar Sariibrahim Astepe ◽  
Aybike Karsli ◽  
Işil Köleli ◽  
Orhan Seyfi Aksakal ◽  
Hasan Terzi ◽  
...  
Keyword(s):  
Comparative Study ◽  
Sacrospinous Fixation ◽  
Vaginal Sacrospinous Fixation

Randomized trial of fascia lata and polypropylene mesh for abdominal sacrocolpopexy: 5-year follow-up

2010 ◽  
Vol 22 (2) ◽  
pp. 137-143 ◽  
Author(s):  
Susan B. Tate ◽  
Linda Blackwell ◽  
Douglas J. Lorenz ◽  
Margaret M. Steptoe ◽  
Patrick J. Culligan
Keyword(s):  
Randomized Trial ◽  
Polypropylene Mesh ◽  
Fascia Lata ◽  
Abdominal Sacrocolpopexy

Comparison of Two Different Suture Materials for Transvaginal Sacrospinous Fixation of the Vault: A Prospective Randomized Trial

2013 ◽  
Vol 29 (6) ◽  
pp. 281-286 ◽  
Author(s):  
Sailesh Ray ◽  
Atin Halder ◽  
Mimi Gangopadhyay ◽  
Saswati Halder ◽  
Partha Pratim Pal
Keyword(s):  
Randomized Trial ◽  
Prospective Randomized Trial ◽  
Suture Materials ◽  
Sacrospinous Fixation
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