Preventing posthysterectomy vaginal vault prolapse and enterocele during vaginal hysterectomy |
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| Authors: | S H Cruikshank |
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| Affiliation: | 1. Department of Gynecological Surgery, CHU Estaing Clermont Ferrand, Clermont-Ferrand, France;2. ALCOV ISIT (UMR6284 CNRS), Clermont-Ferrand, France;3. Department of Urology, Polyclinique de Saint François, Desertines, France;4. Department of Gynecology Oncology, McGill University, Royal Victoria Hospital, Montreal, Quebec, Canada;1. Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA;2. David Geffen School of Medicine at UCLA, Los Angeles, CA, USA;3. Genomics Core, Cedars-Sinai Medical Center, Los Angeles, CA, USA;4. Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA;5. Division of Endocrinology, Diabetes & Metabolism, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA;1. Obstetrics and Gynecology Section, Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy;2. Section of Gynecology and Physiopathology of Reproduction, Department of Obstetrics and Gynecology, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy;3. Obstetrics and Gynecology Clinic, Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Rome, Italy |
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| Abstract: | One hundred twelve vaginal hysterectomies were performed during a period of 2 years, 8 months. During the first year and a half, fourteen procedures were performed on patients referred to our institution because of posthysterectomy vaginal prolapse. We present our results of abdominal and vaginal repairs for vaginal prolapse. Moreover, we present and emphasize a modified surgical technique for the prevention of posthysterectomy vaginal prolapse and enterocele during vaginal hysterectomy. In all 112 patients no posthysterectomy prolapse has occurred. It is concluded that these procedures are acceptable ones to prevent an infrequent, yet tragic consequence of hysterectomy. |
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