Abdominal sacral colpopexy with use of synthetic mesh.
Forty patients with post-hysterectomy vaginal vault prolapse underwent surgery at Lund University Hospital between 1983 and 1991. The standard procedure was an abdominal colposacropexy, using Marlex mesh in 25 cases and Gore-Tex mesh in 15. There were no intraoperative complications. One patient developed a recurrent vault prolapse and one patient developed a draining sinus in the vaginal apex. The duration of follow-up has varied between one and ten years. In 39 of the 40 patients (97%), both subjective and objective improvement has been achieved.
Department of Obstetrics and Gynecology, Lund University Hospital, Sweden.
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects; D008022:Ligaments / Q000601:surgery; D008875:Middle Aged; D011095:Polyethylenes; D011126:Polypropylenes; D011138:Polytetrafluoroethylene; D012008:Recurrence; D012447:Sacrum; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000209:etiology / Q000601:surgery*; D014621:Vagina / Q000601:surgery*
C016674:Plastipore; D011095:Polyethylenes; D011126:Polypropylenes; D011138:Polytetrafluoroethylene