Vaginal vault repair

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Vaginal vault dehiscence VVD may occur rarely after hysterectomy. Although mostly, a vaginal cuff dehiscence is seen after robotic or laparoscopic hysterectomy, it may also be observed as a complication of abdominal or vaginal hysterectomy. Vaginal repair is one of the techniques used for VVD.

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The pelvic organs include the vaginauterusbladderurethraand rectum. These organs are held in place by muscles of the pelvic floor. Layers of connective tissue also give support.

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Vaginal prolapse, or vaginal vault prolapse, occurs when the uppermost part of the vagina falls or sags down into the vaginal canal. When the top of the vagina drops in this manner, it not only causes the vagina to lose its shape, but it also may weaken and collapse the vaginal walls. It is possible to have part of the vagina prolapse, or protrude, from the vagina's opening.

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If you have a total or radical hysterectomyyour cervix and uterus will be removed. More extensive than a total hysterectomy, a radical hysterectomy also involves removal of the upper part of the vagina and additional tissue adjacent to the uterus. The top part of your vagina — where your upper vagina or cervix used to be — will be sewn together as part of this procedure. This is called closing the vaginal cuff.

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Please take this quick survey to tell us about what happens after you publish a paper. Current Urology Reports. Repair of vaginal vault prolapse remains a surgical challenge.

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There are several types of prolapse surgery but all of them try to fix the prolapse and prevent it from happening again. Colporrhaphy uses stiches to repair or strengthen the tissue that supports the vagina. This involves making small cuts to your vagina.

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Many patients with vault prolapse have levator descent and widening of the hiatus. Existing transvaginal procedures do not address pelvic floor descent. We describe a technique utilizing polypropylene mesh to repair pelvic floor relaxation and prevent levator descent, along with restoration of the SULC complex in vaginal vault repair.

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Few investigators have compared the vaginal and abdominal approaches. So how should we decide on a procedure? It is a judgment call, ultimately.

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Javascript is currently disabled in your browser. Several features of this site will not function whilst javascript is disabled. Received 23 September

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Study record managers: refer to the Data Element Definitions if submitting registration or results information. Study design, materials and methods This study involves 5 centres in French Public Hospital. Prolapse severity will be evaluated using the POP-Q system.

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