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December 2005 · Vol. 17, No. 12

SURGICAL TECHNIQUES

Abdominal techniques for surgical management of vaginal vault prolapse

Indications, techniques, and evidence-based rationale


Fast Track

Surgical repair of total vaginal vault prolapse almost always requires paravaginal defect repair, as well

If all vaginal support defects are repaired at the time of sacral colpopexy, recurrent vault prolapse is rare

Extensive dissection is not required for paravaginal repair from the abdominal approach

William  Irvin,  MD

Associate Professor, Division of Gynecologic Oncology, University of Virginia Health System  Charlottesville, Va

Kathie  Hullfish,  MD

Director, Division of Reconstructive, Pelvic Surgery and Urogynecology, University of Virginia Health System  Charlottesville, Va

IN THIS ARTICLE

A range of clinical conditions can suggest an abdominal approach for vaginal vault prolapse procedures.

These include, but are not limited to:

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