Re: Sacral Colpopexy with Concurrent Burch Colposuspension in Patients with Vaginal Vault Prolapse

2007 ◽  
Vol 79 (1) ◽  
pp. 94-94
Author(s):  
Elisabetta Costantini
Keyword(s):  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Sacral Colpopexy ◽  
Burch Colposuspension ◽  
Vault Prolapse

Sacral Colpopexy with Concurrent Burch Colposuspension in Patients with Vaginal Vault Prolapse

2006 ◽  
Vol 76 (4) ◽  
pp. 339-344 ◽  
Author(s):  
S. Wille ◽  
M. Braun ◽  
A. Heidenreich ◽  
R. Hofmann ◽  
U. Engelmann
Keyword(s):  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Sacral Colpopexy ◽  
Burch Colposuspension ◽  
Vault Prolapse

scholarly journals Abdominal Sacral Colpopexy In Treatment Of Vaginal Vault Prolapse: By Less Invasive Method

2013 ◽  
Vol 25 (1) ◽  
pp. 3-8
Author(s):  
Nahar Nurun ◽  
Molina Rani Kundu ◽  
Naher Akterun
Keyword(s):  
Success Rate ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Secondary Outcome ◽  
Sacral Colpopexy ◽  
Vault Prolapse ◽  
Abdominal Sacral Colpopexy ◽  
Less Invasive ◽  
Invasive Method ◽  
The Impact

Objective: To assess the outcomes of abdominal sacral colpopexy in less invasive method. Study design: It was a prospective study conducted in Comilla Medical College Hospital and Comilla General Hospital during the period from 2005 to 2009.Method: Thirty women with vaginal vault prolapse were selected by inclusion and exclusion criteria in a consecutive, exhaustive method. Primary outcome measurements were included subjective, objective and patient-determined success rate. Secondary outcome included the impact on bowel, bladder, sexual function and quality of life. Result: Result shows that, vault prolapse is mostly associated with older patients, age more than sixty (66.7%), para >5 (60%) and menopausal women (66.7%). Vault prolapse was mostly associated with cystocele (93.3%), stress incontinence (76.7%) and more common following abdominal hysterectomy (70%). During operation the dissection was less (3-4cm). Average operating time was 54.33/min; average estimated blood loss was 49.17/ml. One patient required blood transfusion, one developed haematoma during surgery, no gut injury or haemodynamic instability developed. Post operatively, no internal haemorrhage, 4 patient developed fever (13.3%), wound infection one (3.3%), UTI 4 patients (13.3%), no voiding difficulty or thromboembolism and one patient developed mesh rejection (3.3%). After one year follow-up success rate was 96.7%. Conclusion: Abdominal sacral colpopexy is a safe and effective method for correction of vaginal vault prolapse. DOI: http://dx.doi.org/10.3329/bjog.v25i1.13723 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(1) : 3-8

scholarly journals Laparoscopic monolateral suspension for vaginal vault prolapse: a report of an exit surgical strategy during sacralcolpopexy

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Federico Romano ◽  
Andrea Sartore ◽  
Denise Mordeglia ◽  
Giovanni Di Lorenzo ◽  
Guglielmo Stabile ◽  
...  
Keyword(s):  
Laparoscopic Approach ◽  
Vaginal Vault Prolapse ◽  
Surgical Strategy ◽  
Vaginal Vault ◽  
Limiting Factor ◽  
Sacral Colpopexy ◽  
Sacral Promontory ◽  
Vault Prolapse ◽  
New Horizons

Abstract Background Vaginal vault prolapse is the most frequent long-term complication in patients undergoing hysterectomy and sacralcolpopexy is considered the gold standard. We report our surgical strategy maintaining single-arm mesh when the sacral promontory is not accessible to fix the mesh for an unknown sacral osteophytosis during a laparoscopic sacralcolpopexy. This is significant because, to our knowledge, the bone variant as a procedure limiting factor has never been described before. This opens new horizons for the sacralcolpopexy surgery, because it becomes necessary to know of a valid surgical alternative with mesh maintenance if this complication occurs again or to perform an assessment of the accessibility of the sacral promontory immediately after its dissection. Case presentation We present a case of a 75-year-old woman with recurrence of vaginal vault prolapse. A laparoscopic sacralcolpopexy was recommended. During surgery, we found that the procedure was not feasible due to the presence of an unknown osteophytosis of the sacrum which prevented the fixing of the mesh to the sacral promontory. We decided to proceed with a single-arm lateral suspension by using a modified approach of the original technique, maintaining the mesh originally shaped for the sacral colpopexy. At follow-up, the vaginal vault is well suspended. Conclusion This exit strategy may represent a valid surgical alternative when laparoscopic sacral colpopexy is not possible for anatomical variants, allowing to keep the laparoscopic approach using mesh. To our knowledge, cases in which the anatomical bone variant prevented access to the sacral promontory have never been described in the literature, as bone evaluation has never been considered a limiting element of this procedure.

Sacral colpopexy using mersilene mesh in the treatment of vaginal vault prolapse

2004 ◽  
Vol 23 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Jerry Limb ◽  
Kay Wood ◽  
Michael Weinberger ◽  
Fred Miyazaki ◽  
Sherif Aboseif
Keyword(s):  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Sacral Colpopexy ◽  
Vault Prolapse

Iliococcygeus fixation or abdominal sacral colpopexy for the treatment of vaginal vault prolapse: a retrospective cohort study

2013 ◽  
Vol 25 (2) ◽  
pp. 279-284 ◽  
Author(s):  
Rodolfo Milani ◽  
Maria Cristina Cesana ◽  
Federico Spelzini ◽  
Martina Sicuri ◽  
Stefano Manodoro ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Sacral Colpopexy ◽  
Vault Prolapse ◽  
Abdominal Sacral Colpopexy
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