ArticleInternational urogynecology journal2017
Transvaginal iliococcygeus fixation for posthysterectomy vaginal vault prolapse repair.
Article in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- Impact of Mannitol Bladder Distension in the Intraoperative Detection of Ureteral Kinking During Pelvic Floor Surgery.International urogynecology journal · 2024Article
- High Uterosacral Ligaments Suspension for Post-Hysterectomy Vaginal Vault Prolapse Repair.Medicina (Kaunas, Lithuania) · 2024Article
- National Survey on the Management of Genital Prolapse in Italy.International journal of women's health · 2024Article
- Surgical treatment of complete uterovaginal prolapse and concomitant vaginal cancer: a video case report.International urogynecology journal · 2020Article
- Levator ani repair by transvaginal approach.Techniques in coloproctology · 2019Article
- Transvaginal levator myorrhaphy for posthysterectomy vaginal vault prolapse repair.International urogynecology journal · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisPosthysterectomy vaginal vault prolapse repair is a surgical challenge. Successful surgical management using native tissue can be achieved via the vaginal approach by iliococcygeus fascia fixation. However, although iliococcygeus fascia fixation is technically simple and has a low morbidity, it is not commonly performed. The aim of the video is to provide anatomic views and the surgical steps necessary to achieve successful transvaginal iliococcygeus fascia fixation for vaginal vault prolapse repair.
methodsA 60-year-old woman with symptomatic stage III vaginal vault prolapse was admitted for transvaginal iliococcygeus fascia fixation according to the described technique.
resultsSurgery was successful without complications. The final examination showed good apical support and preservation of vaginal length. This step-by-step video tutorial may be an important tool to improve practical surgical knowledge. In particular, proper suture positioning requires adequate pararectal space preparation and levator ani exposure, as shown in the video.
conclusionsTransvaginal iliococcygeus fascia fixation is an alternative technique for apical support without the use of synthetic prosthetic materials. This technique may be indicated when an abdominal approach or a synthetic device is not recommended.
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Registered trials
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