title: [Vaginal vault fixation and reinforcement of the rectovaginal septum technique for the treatment of vault prolapse associated or not with rectocele].
abstract: The most important current concept in therapeutic management of female genital prolapse is the use of non absorbable prosthesis through a vaginal approach. The application of these surgical techniques to repair prolapse aims to restore the anatomic position of the pelvis, while preserving urinary, bowel and sexual functions. Since 2005, we use the Apogee® prosthesis for the treatment of both the vault prolapse and associated posterior colpocele. The purpose of this paper is the detailed description of the technique of placement of Apogee® prosthetic system, so that it can be useful to clarify the key points of this surgical reconstructive surgical technique and different gestures associated with the placement of this type of prosthesis.
authors.affiliation: Servicios de Ginecología y Obstetricia, Hospital Rothschild Assistance Publique-Hôpitaux de Paris, Francia. alain.pigne@wanadoo.fr
authors.forename: Alain
authors.initials: A
authors.lastname: Pigne
authors.forename: A
authors.initials: A
authors.lastname: Faux
authors.forename: B
authors.initials: B
authors.lastname: Deval
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010388:Pelvis / Q000601:surgery; D019919:Prosthesis Implantation; D020047:Rectocele / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*