A Systematic Review of A Series of Cases of Vaginal Vault Prolapse Treated With Sacrospinous Ligament Fixation

Shalini Mahana Valecha; Divija Dhingra

Volume : III, Issue : IX, September - 2014

A Systematic Review of A Series of Cases of Vaginal Vault Prolapse Treated With Sacrospinous Ligament Fixation

Shalini Mahana Valecha, Divija Dhingra

Abstract :

Symptomatic vaginal vault prolapse occurs with 0.2 to 43% of hysterectomies. The definitive management of vaginal vault prolapse is surgical, and as such successful treatment must ensure restoration of anatomy, re-establishment of normal function, and relief of symptoms. Vaginal and abdominal surgical approaches for vaginal vault prolapse have similar efficacy. However , the vaginal approaches produces shorter hospital stays, less discomfort, rapid return of bowel function and allow for repair of coexisting defects through the same incision. The most common current transvaginal procedure described in the literature is the unilateral sacrospinous ligament fixation (SSLF) technique. SSLF may also be used prophylactically for total procidentia at hysterectomy. The sacrospinous ligament has been used for over 50 years as a convenient structure for tethering the vault with good post-operative outcome.