[Sacropexy with abdominal fascia in treatment of vaginal prolapse vault of menopausal women].
BACKGROUND
Vaginal vault prolapsed is a rare complication, with a frequency from 0.2 to 1% after hysterectomy, which is presented due to a bad surgical technique in fixation of the vault suspension elements, as well others factors as the multiparity, menopause, chronic lungs disease, obesity, smoking and weak physical activity. There are many techniques reported to correct this pelvic disease, although the conventional sacropexy has been established for abdominal way, where the diversity of materials of fixation is varied, including natural material as the abdominal fascia and aponeurosis of muscle rectos.


OBJECTIVE
This descriptive and clinical study was carried out in a group of patient with vaginal vault prolapsed, with the objective to know the results and experience of this correction with the surgical technique of sacropexy utilizing abdominal fascia.


METHODS
32 menopausal patient with mean age of 53.9 years, 5 gestations, as well as index of Quetelet of 26.2, were studied, a following of a year was carried out. In these women the main symptom were the sensation of vaginal strange body and subsequently urinary incontinence of effort. Moreover, considering to all group the mean in presentation of the vaginal vault prolapsed after hysterectomy was of 7.7 years, with surgical time of 129 minutes and bled of 172 milliliters. RESULTS. The 97.5% of the patient returned to its sexual life without difficulties and only one referred dyspareunia. Post-surgical complications were not presented and only a patient presented vault prolapsed again (0.31%).


CONCLUSIONS
With this results we can consider that the sacropexy with abdominal fascia is a good technique for the correction of the vaginal vault prolapsed in healthy menopausal women with regular sexual activity and then is a natural material who cause not any.
Lemus Rocha
Santiago Roberto
SR
Hospital de Ginecología y Obstetricia Número 3, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social y Unidad de Investigación Médica en Enfermedades Endocrinas, Hospital de Especialidades, México, DF.
Martínez Rodríguez
Oscar Arturo
OA
Matute González
Manuel
M
Sánchez Juárez
Armando
A
Ramírez Rangel
Rosario
R
Hernández Valencia
Marcelino
M
D005205:Fascia; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D017568:Rectus Abdominis; D014596:Uterine Prolapse / Q000601:surgery*