Video of uterovaginal procidentia repair incorporating a high extraperitoneal uterosacral vault suspension.
High extraperitoneal uterosacral vault suspension
Modified McCall
Procidentia
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
26
10
2019
accepted:
31
03
2020
pubmed:
23
4
2020
medline:
24
6
2021
entrez:
23
4
2020
Statut:
ppublish
Résumé
Women with high-grade uterovaginal prolapse have a higher incidence of levator injury, larger levator hiatal defects, and are at a greater risk of recurrent prolapse after pelvic organ prolapse (POP) surgery. RCOG guidelines have recommended prophylactic sacrospinous suspension at the time of vaginal hysterectomy, whenever there is a marked uterovaginal prolapse. The aim of the video is to describe our surgical approach at the time of surgery for advanced POP, and describe the technique for modified McCall high extraperitoneal vault suspension. We have modified the McCall culdoplasty by extending the dissection of the middle portion of the uterosacral/cardinal ligaments so that the sutures can be placed higher and more laterally extraperitoneally to re-support the vaginal cuff at the time of a vaginal hysterectomy. The video highlights the surgical technique used for apical support at the time of surgery for advanced POP. This video demonstrates our modified McCall technique for vault suspension at the time of vaginal surgery for advanced POP. This technique could be considered an alternative technique to other modes of apical support.
Identifiants
pubmed: 32318761
doi: 10.1007/s00192-020-04300-w
pii: 10.1007/s00192-020-04300-w
doi:
Types de publication
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
2173-2175Références
Symmonds RE, Pratt JH. Vaginal prolapse following hysterectomy. Am J Obstet Gynecol. 1960;79:899–909.
doi: 10.1016/0002-9378(60)90684-0
Toozs-Hobson P, Boos K, Cardozo L. Management of vaginal vault prolapse. BJOG. 1998;105:13–7. https://doi.org/10.1111/j.1471-0528.1998.tb09343.x .
doi: 10.1111/j.1471-0528.1998.tb09343.x
Barrington JW, Edwards G. Posthysterectomy vault prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11:241–5. https://doi.org/10.1007/s001920070033 .
doi: 10.1007/s001920070033
pubmed: 11005477
Marchionni M, Bracco GL, Checcucci V, et al. True incidence of vaginal vault prolapse. Thirteen years of experience. J Reprod Med. 1999;44:679–84.
pubmed: 10483537
DeLancey JO. The anatomy of the pelvic floor. Curr Opin Obstet Gynecol. 1994;6:313–6.
doi: 10.1097/00001703-199408000-00003
Rahn DD, Stone RJ, Vu AK, et al. Abdominal hysterectomy with or without angle stitch: correlation with subsequent vaginal vault prolapse. Am J Obstet Gynecol. 2008;199:669.e1–4. https://doi.org/10.1016/j.ajog.2008.07.051 .
doi: 10.1016/j.ajog.2008.07.051
Margulies RU, Rogers MAM, Morgan DM. Outcomes of transvaginal uterosacral ligament suspension: systematic review and metaanalysis. Am J Obstet Gynecol. 2010;202:124–34. https://doi.org/10.1016/j.ajog.2009.07.052 .
doi: 10.1016/j.ajog.2009.07.052
pubmed: 20113690
Cruikshank SH, Cox DW. Sacrospinous ligament fixation at the time of transvaginal hysterectomy. Am J Obstet Gynecol. 1990;162:1611–5; discussion 1615. https://doi.org/10.1016/0002-9378(90)90927-Y .
doi: 10.1016/0002-9378(90)90927-Y
pubmed: 2360594
Barber MD, Brubaker L, Burgio KL, et al. Comparison of 2 transvaginal surgical approaches and perioperative behavioral therapy for apical vaginal prolapse: the OPTIMAL randomized trial. JAMA. 2014;311:1023–34. https://doi.org/10.1001/jama.2014.1719 .
doi: 10.1001/jama.2014.1719
pubmed: 24618964
pmcid: 4083455
De Boer TA, Milani AL, Kluivers KB, et al. The effectiveness of surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication (modified Manchester) versus vaginal hysterectomy with high uterosacral ligament plication. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20:1313–9. https://doi.org/10.1007/s00192-009-0945-3 .
doi: 10.1007/s00192-009-0945-3
pubmed: 19669686
pmcid: 2762528
Pal M, Bandyopadhyay S. Modified extraperitoneal uterosacral ligament suspension for prevention of vault prolapse after vaginal hysterectomy. Int Urogynecol J. 2019;30:633–7. https://doi.org/10.1007/s00192-018-3669-4 .
doi: 10.1007/s00192-018-3669-4
pubmed: 29777272
Chene G, Tardieu A-S, Savary D, et al. Anatomical and functional results of McCall culdoplasty in the prevention of enteroceles and vaginal vault prolapse after vaginal hysterectomy. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1007–11. https://doi.org/10.1007/s00192-007-0549-8 .
doi: 10.1007/s00192-007-0549-8
pubmed: 18196194
Robinson D, Thiagamoorthy G, Cardozo L. Post-hysterectomy vaginal vault prolapse. Maturitas. 2018;107:39–43. https://doi.org/10.1016/j.maturitas.2017.07.011 .
doi: 10.1016/j.maturitas.2017.07.011
pubmed: 29169578
Lee RA. Vaginal hysterectomy with repair of enterocele, cystocele, and rectocele. Clin Obstet Gynecol. 1993;36:967–75. https://doi.org/10.1097/00003081-199312000-00021 .
doi: 10.1097/00003081-199312000-00021
pubmed: 8293597