Rectus fascia colpopexy for post-hysterectomy vault prolapse: a valid option

Mahendru, Rajiv
June 2010
Journal of the Turkish-German Gynecological Association;Jun2010, Vol. 11 Issue 2, p69
Academic Journal
Objective: Considering the great variety of techniques and disagreement about the ideal route, there is a need for a safe, simple and effective method for the management of apical prolapse. Material and Methods: Twenty seven cases of post- hysterectomy vault prolapse (twenty four following vaginal and three after total abdominal hysterectomy) were treated surgically by anterior abdominal wall colpopexy with autogenous rectus fascia strips. Result: Except for minor complaints like- vomiting, fever and urinary retention in 3.7% cases each (n=1), no major complications were encountered. Moreover, no recurrence, on follow-up thus far. Conclusion: Using autogenous rectus fascia strips in anterior abdominal wall colpopexy is not only a simple, cheap and effective method of treating vault prolapse but is also devoid of any serious complications such as described with other techniques.


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