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Vaginal vault prolapse

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https://www.readbyqxmd.com/read/27766346/laparoscopic-sacrocolpopexy-operative-times-and-efficiency-in-a-high-volume-female-pelvic-medicine-and-laparoscopic-surgery-practice
#1
Robert Moore, Christopher Moriarty, Orawee Chinthakanan, John Miklos
INTRODUCTION AND HYPOTHESIS: There has been a trend toward robotic sacrocolpopexy in the United States despite longer operating times and higher costs compared with traditional laparoscopy. The current study objective was to evaluate incision to closure times of laparoscopic sacrocolpopexy in a urogynecologic practice with extensive experience in the laparoscopic approach for pelvic reconstruction. METHODS: We conducted a single-center retrospective evaluation of consecutive patients undergoing laparoscopic sacrocolpopexy for vaginal vault prolapse using a permanent polypropylene Y-mesh over a 1-year period...
October 20, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27696355/surgery-for-women-with-apical-vaginal-prolapse
#2
Christopher Maher, Benjamin Feiner, Kaven Baessler, Corina Christmann-Schmid, Nir Haya, Julie Brown
BACKGROUND: Apical vaginal prolapse is a descent of the uterus or vaginal vault (post-hysterectomy). Various surgical treatments are available and there are no guidelines to recommend which is the best. OBJECTIVES: To evaluate the safety and efficacy of any surgical intervention compared to another intervention for the management of apical vaginal prolapse. SEARCH METHODS: We searched the Cochrane Incontinence Group's Specialised Register of controlled trials, which contains trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, ClinicalTrials...
October 1, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27682746/perioperative-complications-and-cost-of-vaginal-open-abdominal-and-robotic-surgery-for-apical-vaginal-vault-prolapse
#3
Mallika Anand, Amy L Weaver, Kristin M Fruth, Bijan J Borah, Christopher J Klingele, John B Gebhart
OBJECTIVES: To determine the rate of perioperative complications and cost associated with Mayo-McCall culdoplasty (MMC), open abdominal sacrocolpopexy (ASC), and robotic sacrocolpopexy (RSC) for posthysterectomy vaginal vault prolapse. METHODS: We retrospectively searched for the records of patients undergoing posthysterectomy apical vaginal prolapse surgery (MMC, ASC, or RSC) between January 1, 2000, and June 30, 2012, at our institution. For all patients identified, perioperative complications, length of hospital stay, and inpatient costs to patients were abstracted from the medical records and compared by procedure...
September 26, 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27679181/evaluation-of-vaginal-vault-position-with-dynamic-mri-in-women-who-had-laparoscopic-sacrocolpopexy-for-uterine-prolapse
#4
A T Yoldemir, C Cimsit, M Guclu, I N Akpinar
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27659697/minimally-invasive-sacrocolpopexy-how-to-avoid-short-and-long-term-complications
#5
Catherine A Matthews
Sacrocolpopexy remains the "gold standard" procedure for management of posthysterectomy vaginal vault prolapse with improved anatomic outcomes compared to native tissue vaginal repair. Despite absence of clinical data, sacrocolpopexy is increasingly being offered to women as a primary treatment intervention for uterine prolapse. While reoperation rates remain low, recurrent prolapse and vaginal mesh exposure appear to increase over time. The potential morbidity associated with sacrocolpopexy is higher than for native tissue vaginal repair with complications including sacral hemorrhage, discitis, small bowel obstruction, port site herniation, and mesh erosion...
December 0: Current Urology Reports
https://www.readbyqxmd.com/read/27637704/long-term-outcomes-of-robotic-assisted-laparoscopic-sacrocolpopexy-with-a-minimum-of-three-years-follow-up
#6
Mark S Shimko, Eric C Umbreit, George K Chow, Daniel S Elliott
We describe efficacy and safety of robotic-assisted laparoscopic vaginal vault prolapse repair with long-term follow-up. We reviewed the records of 40 consecutive patients with posthysterectomy vaginal vault prolapse who underwent a robotic-assisted laparoscopic sacrocolpopexy at our institution between September 2002 and September 2006. Patient analysis focused on complications, patient satisfaction, and morbidity, with a minimum of 36 months' follow-up. Median follow-up was 62 months (range 36-84) and mean age was 67 (43-83) years...
September 2011: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27636221/outcomes-of-robotic-sacrocolpopexy-using-only-absorbable-suture-for-mesh-fixation
#7
Brian J Linder, Mallika Anand, Christopher J Klingele, Emanuel C Trabuco, John B Gebhart, John A Occhino
OBJECTIVE: The optimal suture selection for mesh attachment during robotic sacrocolpopexy (RSC) is currently unknown. Here, we sought to evaluate the outcomes of RSC using absorbable sutures for vaginal and sacral mesh attachment. METHODS: We retrospectively reviewed 132 RSC surgeries that were performed for vaginal vault prolapse in the Division of Gynecologic Surgery at our institution from February 2007 to December 2013. All cases were performed with absorbable suture (polyglactin) for vaginal and sacral mesh fixation...
September 16, 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27630908/comparison-of-the-efficiency-of-posterior-intravaginal-sling-pivs-procedure-in-older-and-younger-groups
#8
Tolgay Tuyan Ilhan, Akin Sivaslioglu, Türkan Ilhan, Mustafa Gazi Uçar, İsmail Dolen
INTRODUCTION: Vaginal vault prolapsus is a challenging problem for the patients and physicians. There may be differences between young and elderly patients in terms of efficiency and safety of surgical procedures. AIM: The aim of our study was to compare the efficiency of the Posterior Intravaginal Sling (PIVS) procedure in older versus younger patient groups. MATERIALS AND METHODS: A total of 40 patients who underwent the PIVS procedure were chosen...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27628772/use-of-a-bidirectional-barbed-suture-in-robot-assisted-sacrocolpopexy
#9
Ali Ghomi, Reza Askari
Abdominal sacrocolpopexy is an effective and durable surgical procedure that is conventionally reserved for management of vaginal vault prolapse. With the availability of robotic technology in recent years, sacrocolpopexy has become more commonly performed in a minimally invasive fashion. Peritoneal closure can be a tedious and time-consuming step in robot-assisted sacrocolpopexy. We describe a novel technique utilizing a bidirectional barbed suture to re-approximate the peritoneum in robot-assisted sacrocolpopexy, making the procedure more time-efficient...
August 2010: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27595626/-vaginal-surgery-and-transanal-approach-for-posterior-vaginal-wall-prolapse-guidelines-for-clinical-practice
#10
F Cour, L Le Normand, G Meurette
OBJECTIVE: The aim was to review the safety and efficacy of surgery for posterior vaginal wall prolapse by vaginal route, in order to identify a therapeutic algorithm based on benefit/risk evaluation of each surgical procedure. MATERIAL AND METHODS: We performed a review of the litterature published up to september 2015 (PubMed, Medline, Cochrane library, Cochrane database of systemactic reviews) according to the HAS methodology. Level evidence (1 to 4) was determined for each study as well as evidence based recommendations (A, B, C or professional agreement)...
July 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27498595/early-safety-and-efficacy-outcomes-of-a-novel-technique-of-sacrocolpopexy-for-the-treatment-of-apical-prolapse
#11
Smita Rajshekhar, Sambit Mukhopadhyay, Edward Morris
OBJECTIVE: To assess the safety and efficacy of a modified technique of bilateral abdominal sacrocolpopexy in which both uterosacral ligaments are replaced with polyvinylidene fluoride mesh to provide support to the cervix (cervico-sacropexy [CESA]) or vaginal vault (vagino-sacropexy [VASA]). METHODS: A retrospective observational study was undertaken of women with posthysterectomy vault prolapse or recurrent apical prolapse following previous prolapse repair who underwent bilateral sacrocolpopexy between July 1, 2013, and December 31, 2014, in a tertiary referral unit in the UK...
November 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/27436178/abdominal-versus-laparoscopic-sacrocolpopexy-a-systematic-review-and-meta-analysis
#12
Patrick Campbell, Louise Cloney, Swati Jha
Sacrocolpopexy (SC) is considered the criterion-standard treatment for management of vaginal vault prolapse (VVP), and laparoscopic SC (LSC) has become a popular alternative to the abdominal approach. However, there are limited definitive data comparing the 2 procedures. The aim of this meta-analysis is to compare the abdominal sacrocolpopexy (ASC) with the LSC for the management of VVP. Electronic searches of MEDLINE, EMBASE, PubMed, Cochrane Register of Controlled Trials, Cochrane Database of Systematic Reviews, CINAHL, and Google scholar were performed...
August 2016: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/27342042/recurrence-of-vaginal-prolapse-after-total-vaginal-hysterectomy-with-concurrent-vaginal-uterosacral-ligament%C3%A2-suspension-comparison-between-normal-weight%C3%A2-and-overweight-women
#13
Carlo Rappa, Gabriele Saccone
BACKGROUND: Obesity is one of the most important risk factors for the development and progression of the pelvic organ prolapse. However, data regarding whether obesity is a risk factor for recurrence after pelvic organ prolapse surgery are controversial. OBJECTIVE: The aim of this study was to estimate the risk of recurrent prolapse in any vaginal compartment after total vaginal hysterectomy with concurrent uterosacral ligament vaginal vault suspension among normal-weight women compared with either overweight or obese women...
June 21, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27179809/total-colpocleisis-technical-considerations
#14
Brian J Linder, John B Gebhart, John A Occhino
INTRODUCTION: We present a video describing the technical considerations for performing a total colpocleisis in the management of symptomatic post-hysterectomy pelvic organ prolapse. METHODS: A 76-year old female presented with pelvic pressure and the presence of a palpable vaginal bulge. She had significant bother and had previously failed use of a pessary. She wasnot sexually active, with no plans for future sexual activity. Her medical history was significant for coronary artery disease with prior myocardial infarction...
May 14, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27095952/laparoscopic-trans-teres-vault-suspension-a-new-laparoscopic-method-of-treatment-of-female-genital-prolapse-a-preliminary-report
#15
Ewa Milnerowicz-Nabzdyk, Mariusz Zimmer
INTRODUCTION: Pelvic organ prolapse (POP) is treated with a great variety of procedures and none is fully satisfactory. The aim of the study was to introduce and evaluate the effectives of laparoscopic trans teres vault suspension (LTTVS) technique as a new method for POP treatment. MATERIAL AND METHODS: In the years 2013-2014, eight symptomatic women with grades II-IV POP underwent LTTVS procedure. The mean age of patients was 65.25 years (range from 52 to 76 years)...
March 2016: Przeglad Menopauzalny, Menopause Review
https://www.readbyqxmd.com/read/27054798/the-design-of-a-randomized-trial-of-vaginal-surgery-for-uterovaginal-prolapse-vaginal-hysterectomy-with-native-tissue-vault-suspension-versus-mesh-hysteropexy-suspension-the-study-of-uterine-prolapse-procedures-randomized-trial
#16
Charles W Nager, Halina Zyczynski, Rebecca G Rogers, Matthew D Barber, Holly E Richter, Anthony G Visco, Charles R Rardin, Heidi Harvie, Dennis Wallace, Susan F Meikle
OBJECTIVES: We present the rationale for and design of a randomized controlled superiority trial comparing 2 vaginal surgical approaches for the treatment of uterovaginal prolapse. The Study of Uterine Prolapse Procedures Randomized Trial (SUPeR) trial compares the efficacy and safety of native tissue repair with vaginal hysterectomy and suture apical suspension versus uterine conservation with mesh hysteropexy through 36 to 60 months postoperatively for primary repair of uterovaginal prolapse...
July 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27052327/apical-sling-an-approach-to-posthysterectomy-vault-prolapse
#17
Alexandriah N Alas, Ines Pereira, Neeraja Chandrasekaran, Hemikaa Devakumar, Luis Espaillat, Eric Hurtado, G Willy Davila
INTRODUCTION AND HYPOTHESIS: This video demonstrates a transvaginal technique for vaginal vault suspension using an apical sling suspended from the sacrospinous ligaments. METHODS: This was a retrospective review of apical sling procedures performed from July 2013 to November 2014. The technique is started by marking the vaginal apex. A posterior dissection is performed and the sacrospinous ligaments are identified after dissection into the pararectal space. A 10-cm piece of monofilament, inelastic polypropylene tape is attached to the underside of the vaginal apex...
September 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/26992724/sacrocolpopexy-for-posthysterectomy-vaginal-vault-prolapse-long-term-follow-up
#18
Ester Illiano, Konstantinos Giannitsas, Alessandro Zucchi, Manuel Di Biase, Michele Del Zingaro, Vittorio Bini, Elisabetta Costantini
INTRODUCTION AND HYPOTHESIS: Abdominal sacrocolpopexy (ASC) is considered the gold standard for vaginal vault prolapse (VVP) repair. Our aim was to evaluate the long-term durability of its anatomic and functional results. METHODS: This was a prospective series of women undergoing ASC for symptomatic VVP stage III or IV according to the Pelvic Organ Prolapse Quantification (POP-Q) system. All patients were followed up every 3 months for the first postoperative year and then annually for anatomical and functional outcomes and complications...
October 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/26945273/factors-influencing-selection-of-vaginal-open-abdominal-or-robotic-surgery-to-treat-apical-vaginal-vault-prolapse
#19
Mallika Anand, Amy L Weaver, Kristin M Fruth, John B Gebhart
OBJECTIVES: This study aimed to determine factors influencing the selection of Mayo-McCall culdoplasty (MMC), open abdominal sacrocolpopexy (ASC), or robotic sacrocolpopexy (RSC) for posthysterectomy vaginal vault prolapse. METHODS: We retrospectively searched for the records of patients undergoing posthysterectomy apical vaginal prolapse surgery between January 1, 2000, and June 30, 2012, at our institution. Baseline characteristics and explicit selection factors were abstracted from the electronic medical records...
July 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/26921365/spontaneous-transvaginal-evisceration-a-case-of-recurrence
#20
Susana Perdigão Ribeiro, Artur Canha Silva, João Maciel, Ana Sofia Antunes
Vaginal evisceration can be defined as a defect in the vaginal wall resulting in prolapse of the intraperitoneal contents. This is a rare complication of hysterectomy, but may result in severe morbidity. We report the case of a postmenopausal woman with transvaginal evisceration of the sigmoid colon 1 year after an abdominal hysterectomy. An exploratory laparotomy was undertaken to reduce the prolapsed sigmoid colon through a combined vaginal-abdominal route. Repair of the defect of the vaginal vault was made using an absorbable running suture...
2016: BMJ Case Reports
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