title: Vaginal Vault Suspension at Hysterectomy for Prolapse - Myths and Facts, Anatomical Requirements, Fixation Techniques, Documentation and Cost Accounting.
abstract: Vaginal vault suspension during hysterectomy for prolapse is both a therapy for apical insufficiency and helps prevent recurrence. Numerous techniques exist, with different anatomical results and differing complications. The description of the different approaches together with a description of the vaginal vault suspension technique used at the Department for Urogynaecology at St. Hedwig Hospital could serve as a basis for reassessment and for recommendations by scientific associations regarding general standards.
authors.affiliation: Urogynäkologie, Deutsches Beckenbodenzentrum, Berlin.
authors.forename: F
authors.initials: F
authors.lastname: Graefe
authors.affiliation: Urogynäkologie, Deutsches Beckenbodenzentrum, Berlin.
authors.forename: J
authors.initials: J
authors.lastname: Marschke
authors.affiliation: Frauenheilkunde und Geburtshilfe, Klinikum Kassel, Kassel.
authors.forename: T
authors.initials: T
authors.lastname: Dimpfl
authors.affiliation: Urogynäkologie, Deutsches Beckenbodenzentrum, Berlin.
authors.forename: R
authors.initials: R
authors.lastname: Tunn
keywords: Vaginal vault suspension; hysterectomy; prolapse; standard