Vaginal Vault Suspension; surgical procedure used to correct vaginal vault prolapse скачать в хорошем качестве

Vaginal Vault Suspension; surgical procedure used to correct vaginal vault prolapse

Vaginal Vault Suspension is a surgical procedure used to correct vaginal vault prolapse, which often occurs after a hysterectomy when the top of the vagina (the vault) loses support and begins to descend into the vaginal canal. 🏥 What It Involves Purpose: To restore the normal anatomical position of the vaginal apex and improve pelvic support. Indications: Post-hysterectomy prolapse Uterine prolapse Symptoms like pelvic pressure, urinary issues, or painful intercourse. 🔧 Surgical Techniques There are several approaches depending on the patient's anatomy and surgeon's preference: Technique Description Sacrospinous Ligament Suspension Vaginal apex is attached to the sacrospinous ligament, usually unilaterally. Uterosacral Ligament Suspension Vault is suspended to the uterosacral ligaments, often done transvaginally. Abdominal Approach Includes laparotomy or laparoscopy to access pelvic ligaments for suspension. Mesh Repair Synthetic mesh may be used to reinforce support, though it carries additional risks. ⚠️ Risks & Considerations Ureteral injury Bleeding or infection Recurrence of prolapse Mesh-related complications (if used) Need for reoperation (up to 29.2% in some cases) 🧘 Recovery & Outcomes Most patients experience symptom relief and improved quality of life. Recovery typically involves pelvic rest, limited lifting, and follow-up exams. Success rates are high, especially with proper anatomical correction and patient selection. #VaginalVaultSuspension