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Sacrospinous ligament fixation of the prolapsed vaginal vault after hysterectomy

Dellas, Athanassios and Almendral, Alfonso C.. (1999) Sacrospinous ligament fixation of the prolapsed vaginal vault after hysterectomy. Journal of pelvic surgery, 5 (3). pp. 161-165.

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Official URL: http://edoc.unibas.ch/dok/A5264990

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Abstract

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
03 Faculty of Medicine > Bereich Spezialfächer (Klinik) > Gynäkologie und Geburtshilfe
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Spezialfächer (Klinik) > Gynäkologie und Geburtshilfe
UniBasel Contributors:Dellas, Athanassios
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Lippincott Williams & Wilkins
ISSN:1077-2847
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
Last Modified:06 Oct 2017 09:28
Deposited On:22 Mar 2012 13:36

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