Entry into the peritoneal cavity in posthysterectomy prolapse: an educational video.
OBJECTIVE
Entry into the peritoneal cavity can be challenging in patients with posthysterectomy prolapse; however, it is important for vaginal surgeons to be able to enter the peritoneal cavity using various techniques to perform an intraperitoneal vaginal vault suspension.


METHODS
We present surgical footage of various methods of accessing the peritoneal cavity in posthysterectomy prolapse using posterior, anterior and apical approaches.


RESULTS
This video highlights surgical techniques that can be used to enter the peritoneal cavity in posthysterectomy prolapse in a safe and reliable manner.


CONCLUSIONS
Vaginal surgeons should be able to safely and confidently identify and enter the peritoneal cavity using various approaches to perform an intraperitoneal vaginal vault suspension.
Section of Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology & Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA. bretscc@ccf.org.
C Emi
CE
Bretschneider
Section of Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology & Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA.
Karl
K
Jallad
Advanced Urogynecology and Pelvic Surgery, The Christ Hospital, Cincinnati, OH, USA.
Patrick M
PM
Lang
Advanced Urogynecology and Pelvic Surgery, The Christ Hospital, Cincinnati, OH, USA.
Mickey M
MM
Karram
Section of Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology & Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA.
Mark D
MD
Walters
D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D056887:Pelvic Organ Prolapse / Q000209:etiology / Q000601:surgery*; D010529:Peritoneal Cavity / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000193:education / Q000379:methods*; D014621:Vagina / Q000601:surgery
Peritoneal cavity; Posthysterectomy prolapse