Abdominal sacral colpopexy with Mersilene mesh.
BACKGROUND
This study focussed on abdominal sacral colpopexy with Mersilene mesh to correct total vaginal vault prolapse. Our aim was to describe and explain our operative modifications.


METHODS
From 1992 and 1999, we performed sacrocolpopexy on 25 patients for vaginal vault prolapse. We proposed a change by interposing a mesh between the vaginal vault and the sacral promontory shaped as an inverted 'V'.


RESULTS
No intraoperative or postoperative complications were encountered; to date the outcome of all patients was satisfactory.


CONCLUSIONS
Based on the results of the follow-up, this new surgical approach of abdominal sacral colpopexy can be considered as effective surgery for vaginal vault prolapse.
Leonardo
C
C
Urology Division, Civil Hospital, Velletri, Rome, Italy. leonardo_c_doc@usa.net
Gentili
G
G
Leonardo
F
F
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D012189:Retrospective Studies; D012447:Sacrum; D012680:Sensitivity and Specificity; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000175:diagnosis / Q000601:surgery*
D011093:Polyethylene Terephthalates; C025539:Lavsan