Vaginal sacrocolporectopexy for the surgical treatment of uterine and vaginal vault prolapses: confirmation of the surgical method and perioperative results of 101 cases

Abstract

Vaginal sacrocolporectopexy is a safe vaginal method for the treatment of sub-/total uterine/vaginal vault prolapse.

Postoperative anatomic and quality‐of‐life outcomes after vaginal sacrocolporectopexy for vaginal vault prolapse

“…Additionally, the median approach to the os sacrum by vaginal sacrocolporectopexy could avoid nerve damage to the inferior hypogastric plexus . Two pilot studies proved the feasibility of this approach, with low perioperative complication rates …”

“…Patients with a preserved uterus were excluded. Some of the patients included in the present study had previously been evaluated for perioperative complications . The present study was approved by the ethics committee of Hannover Medical School, Germany, and informed consent was obtained from the participants.…”

“…Preoperative and perioperative data were collected from clinical records and archived in a database. Surgery was performed by four surgeons as previously described . In summary, if uterine prolapse was present, a vaginal or laparoscopic hysterectomy was conducted.…”

“…During this procedure, the vaginal apex and the rectum are fixed with a monofilament suture to the anterior longitudinal ligament of the sacral os. Two pilot studies have provided promising results about the safety and favorable perioperative outcome of vaginal sacrocolporectopexy. Indeed, mesh‐free vaginal approaches represent a valuable method for POP surgery, which avoids the occurrence of rare severe adverse effects associated with the early generations of mesh implants, as well as the prolonged operative and recovery times of abdominal approaches …”