Dellas, Athanassios and Almendral, Alfonso C.. (1999) Sacrospinous ligament fixation of the prolapsed vaginal vault after hysterectomy. Journal of pelvic surgery, Vol. 5, H. 3. S. 161-165.
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Official URL: http://edoc.unibas.ch/dok/A5264990
The purpose of this study was to assess the results of the sacrospinous ligament fixation for the treatment of vaginal vault prolapse after hysterectomy. Design: Between 1979 and 1996, 63 women underwent a reconstructive operation because of vaginal prolapse after abdominal or vaginal hysterectomy. Sacrospinous ligament fixation was performed in all women in combination with operative correction of either cystocele or rectocele, or both. Results: Recurrent vaginal prolapse occurred in only one woman 3 years after the operation. Temporary nerve damage was observed in two patients. Six women reported urine loss because of stress incontinence after sacrospinous ligament fixation. Conclusion: Vaginal vault suspension to the sacrospinous ligament avoids major abdominal surgery and allows the surgeon to correct coexistent cystocele and rectocele. Sacrospinous ligament fixation of the prolapsed vaginal vault should be performed with colposuspension if masked urinary stress incontinence is preoperatively detected.
|Faculties and Departments:||03 Faculty of Medicine|
|Item Type:||Article, refereed|
|Bibsysno:||Link to catalogue|
|Publisher:||Lippincott Williams & Wilkins|
|Note:||Publication type according to Uni Basel Research Database: Journal article|
|Last Modified:||01 Mar 2013 12:21|
|Deposited On:||22 Mar 2012 14:36|
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