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. 2012 Dec;72(12):1099-1106.
doi: 10.1055/s-0032-1328061.

Vaginal Vault Suspension at Hysterectomy for Prolapse - Myths and Facts, Anatomical Requirements, Fixation Techniques, Documentation and Cost Accounting

F Graefe  1 , J Marschke  1 , T Dimpfl  2 , R Tunn  1
Affiliations

Vaginal Vault Suspension at Hysterectomy for Prolapse - Myths and Facts, Anatomical Requirements, Fixation Techniques, Documentation and Cost Accounting

F Graefe et al. Geburtshilfe Frauenheilkd. 2012 Dec.

Abstract
in English, German

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.

Die Scheidenstumpffixation im Rahmen der Prolaps-Hysterektomie ist Therapie der apikalen Insuffizienz und gleichermaßen Rezidivprophylaxe. Es existieren zahlreiche Techniken, die mit unterschiedlichen anatomischen Resultaten und Komplikationen einhergehen. Die Darstellung der verschiedenen Vorgehensweisen und Vorstellung der Scheidenstumpffixationstechnik der Klinik für Urogynäkologie am St. Hedwig Krankenhaus kann als Grundlage für eine Neubewertung und Empfehlung durch die Fachgesellschaften zu einem einheitlichen Standard dienen.

Keywords: Vaginal vault suspension; hysterectomy; prolapse; standard.

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Conflict of interest statement

Conflict of Interest/Interessenkonflikt None. Nein.

Figures

Fig. 1
Fig. 1
High peritonisation, vaginal approach.
Fig. 2
Fig. 2
Moschcowitz obliteration of the pouch of Douglas, abdominal approach.
See this image and copyright information in PMC

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