E-ISSN: 1309-0380
Abdominal Sacral Colpoperineopexy Technique for Vaginal Vault Prolapse: A Case Report
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Case Report
VOLUME: 8 ISSUE: 3
P: 327-330
September 2007

Abdominal Sacral Colpoperineopexy Technique for Vaginal Vault Prolapse: A Case Report

J Turk Ger Gynecol Assoc 2007;8(3):327-330
Orhan S. Aksakal 1
Mustafa Ugur 2
Bülent Yilmaz 3
Hüseyin Yesilyurt 4
Leyla Mollamahmutoglu 5
1. Dr. Zekai Tahir Burak Women’S Health Training And Research Hospital, Urogynecology Department, Ankara, Turkey
2. Zekai Tahir Burak Women’S Health Education And Research Hospital, Ivf Unit, Ankara, Turkey
3. Zekai Tahir Burak Women’S Health, Education And Research Hospital, Department Of Obstetrics And Gynecology, Ankara, Turkey
4. Department Of Gynecology, Zekai Tahir Burak Women's Health, Training And Research Hospital, Ankara, Turkey
5. Zekai Tahir Burak Women’S Health Education And Research Hospital, Cebeci, Ankara, Turkey
No information available.
No information available
Received Date: 15.05.2006
Accepted Date: 02.03.2007
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ABSTRACT

CONCLUSION:

Abdominal sacral colpoperineopexy can be an alternative tecnique to other surgical methods for treatment of vaginal vault prolapse.

TECHNİQUE:

On lithotomy position, abdominal cavity was entered using pfannensteil incision. Protruded vaginal vault was pushed back to abdomen. After a one cm incision was made 2 cm lateral to each side of the vestibule of the vagina, a long straight needle was introduced into this opening and pushed thru the submucosa of the vagina, and entered to the abdomen. One end of a prolen mesh was attached to the tip of the Stamey needle, pulled back to the perineum and attached to fascia of perineum. The other end of the prolen mesh was initially attached to vaginal vault and then to the presacral fascia at the level of S3.

CASE:

A forty two years old G4 P3 women was referred to our hospital 6 months after vaginal hysterectomy in another hospital. Gynecological examination revealed 4th degree vaginal vault prolapse.

OBJECTIVE:

Introduction of a new technique for vaginal vault prolapse; abdominal sacral colpoperineopexy.

Keywords:
Vaginal vault prolapse, abdominal sacral colpoperineopexy, colpopexy