Rectus fascia colpopexy in posthysterectomy vaginal prolapse: Analysis of 18 cases

Posthysterectomy prolapse of the vaginal vault is a complicated and uncommon occurrence in gynecology. The treatment is surgical and may be either vaginal or abdominal. The great variety of techniques described indicates that there is disagreement about the ideal route or technique to be used. The authors present their experience in surgical correction using colpopexy with rectus abdominal muscle fascia.Editorial Comment: This surgical procedure was originally described by Te Linde in 1962 and later modified by Alves de Lima and Valente. The value of this study is in the relatively long follow-up of 3 years. The authors document minimal complications and good results. It is actually surprising that they did not see postprocedure enteroceles owing to the markedly anterior placement of the vaginal axis.