Fixation of the vaginal apex to the coccygeus fascia during repair of vaginal vault eversion with enterocele

Article Abstract:

Prolapse of the vagina may be successfully surgically repaired by attaching the apex of the vagina to the coccygeus fascia. The standard surgical repair of the prolapsed vagina has been attachment of the vaginal apex to the sacrum or to the sacrospinous ligament. Vaginal prolapse may result from childbirth injuries and is common after hysterectomy. Researchers compared the outcomes of 81 patients whose vaginal apices were attached to the coccygeus fascia to 30 patients with attachment to the sacrospinous ligament. The projected success rate at two years after surgery were 96% for patients receiving coccygeus fascia attachment, versus 80% for those receiving sacrospinous ligament attachment. More failures occurred in the latter group. Surgery relieved urinary incontinence in most patients.

Pelvis

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Uterosacral ligament fixation for vaginal vault suspension in uterine and vaginal vault prolapse

Article Abstract:

The uterosacral ligament may be a reliable and effective anchor in vaginal suspension surgery for prolapse. Prolapse is the descent of the uterus or vagina toward the vaginal opening. A surgeon performed suspension surgery through the vagina in 50 women, using the uterosacral ligament to attach the vaginal tissue. The ligament was successfully located in all patients, and there were no significant complications or recurrences of prolapse 6 to 48 months after surgery.

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High uterosacral vaginal vault suspension with fascial reconstruction for vaginal repair of enterocele and vaginal vault prolapse

Article Abstract:

A high uterosacral ligament vaginal vault suspension is an effective method for repairing uterine prolapse. In this technique, the vagina is attached to the uterosacral ligaments above the point at which they normally break. Prolapse occurs when an organ moves away from its normal anatomic position.

Prolapse

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