title: [Vaginal sacral-spinal fixation or Richter's procedure. Experience of a surgical team with 54 cases].
abstract: Vaginal sacro-spino-fixation or Richter's procedure is valuable for the treatment of posthysterectomy vaginal prolapse. Although technically difficult, this procedure is associated with minimal trauma and is effective in correcting pelvic static disorders. There seem to be few complications. Results are very promising. The functional and anatomic improvements induced by the operation persist over the long term. Although the main indication is treatment of prolapse of the vaginal vault, Richter's procedure is also useful for the prevention of prolapse. Based on the experience acquired by a surgical team, the technique, indications, complications, and results of Richter's procedure are discussed.
authors.affiliation: CHU La Grave, Service de Gynécologie-Obstétrique, TOULOUSE.
authors.forename: P
authors.initials: P
authors.lastname: Ko-Kivok-Yun
authors.forename: X
authors.initials: X
authors.lastname: Monrozies
authors.forename: J
authors.initials: J
authors.lastname: Ayoubi
authors.forename: A
authors.initials: A
authors.lastname: Elghaoui
authors.forename: J M
authors.initials: JM
authors.lastname: Reme
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000209:etiology / Q000601:surgery*
vernacular_title: Sacro-spino-fixation vaginale ou intervention de Richter. Expérience d'une équipe chirurgicale à propos de 54 cas.