[Fixation of the prolapsed vagina to the sacrospinous ligament after hysterectomy--the Amreich II-Richter vaginal fixation operation].
Preliminary experience with vaginal vault prolapse treatment with sacrospinous fixation (Amreich II-Richter) is described. Anatomical considerations having taking into account the method used by author are presented. From 1986 at the 1st Dept. of Obstetrics and Gynaecology 38 patients (20 of them after abdominal, 18 after vaginal hysterectomy) with this rare condition were treated by the discussed operation. Similar to other authors a high success rate, 97.4%, was achieved and no major bleeding or injury of adjacent nerves occurred. One injury of the bladder, one of the rectum was solved during the operation and an infection of supravaginal haematoma was treated. This operation provides excellent results and a good vaginal support.
Halaska
M
M
I. gynek.-porod. klinika 1. LF UK a VFN, Praha.
D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D012445:Sacrococcygeal Region; D014596:Uterine Prolapse / Q000601:surgery*
Závĕs pochvy prolabující po hysterektomii k lig. sacrospinale--vaginaefixatio sec. Amreich II-Richter.