An effective and safe innovation for the management of vault prolapse.
OBJECTIVE
Considering the great variety of techniques and disagreement about the ideal route, there is a need for a simple, safe and effective method for the management of vault prolapse.


METHODS
51 cases of post- hysterectomy vault prolapse: 45 following vaginal and 6 after total abdominal hysterectomy were treated surgically by anterior abdominal wall colpopexy with autogenous rectus fascia strips.


RESULTS
Except for minor complaints like vomiting, fever and urinary retention in 3.92% cases each (n = 2 each), no major complications were encountered. Moreover, no recurrence, thus far, on follow-up.


CONCLUSIONS
Using autogenous rectus fascia strips in anterior abdominal wall colpopexy is not only simple, cheap and effective method of treating apical prolapse but is also devoid of any serious complications as described with other techniques.
Mahendru
Rajiv
R
Department of Obs & Gyn, Institute M,M,I,M,S,R,, Mullana, Ambala, Haryana, India. dr.rmahendru@gmail.com.