Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Mar;15(1):6-11.
doi: 10.5114/pm.2016.58766. Epub 2016 Mar 29.

Laparoscopic trans teres vault suspension, a new laparoscopic method of treatment of female genital prolapse - a preliminary report

Ewa Milnerowicz-Nabzdyk  1 , Mariusz Zimmer  1
Affiliations

Laparoscopic trans teres vault suspension, a new laparoscopic method of treatment of female genital prolapse - a preliminary report

Ewa Milnerowicz-Nabzdyk et al. Prz Menopauzalny. 2016 Mar.

Abstract

Introduction: Pelvic organ prolapse (POP) is treated with a great variety of procedures and none is fully satisfactory. The aim of the study was to introduce and evaluate the effectives of laparoscopic trans teres vault suspension (LTTVS) technique as a new method for POP treatment.

Material and methods: In the years 2013-2014, eight symptomatic women with grades II-IV POP underwent LTTVS procedure. The mean age of patients was 65.25 years (range from 52 to 76 years). The surgery encompassed total hysterectomy, suturing the vagina and fixation of uterosacral ligaments to the vaginal stump, fixation of stumps of round ligaments to the vaginal stump, and fixation of the vaginal stump to the anterior rectus fascia. Mean follow-up was 17.75 months (range from 6 to 27 months).

Results: Eight patients were successfully operated. The symptoms of POP resolved after surgery and subjective quality of life increased. In one case a complication such as common fibular nerve injury appeared; however, it resolved after one month of physiotherapy. The other patient reported radiating pain down the leg after three months. No recurrence of vaginal stump prolapse was observed during the follow-up.

Conclusions: LTTVS is a promising method for POP treatment. Due to repair with the use of native tissues, physiological placement of vaginal stump, and high efficacy it can be considered as an alternative to other POP surgeries. The method requires additional research on larger groups of patients.

Keywords: hysterectomy; laparoscopic; minimally invasive surgery; pelvic organ prolapse; uterine prolapse; vaginal stump suspension.

PubMed Disclaimer

Similar articles

See all similar articles

References

    1. Khandwala S, Williams C, Reeves W, et al. Role of vaginal mesh hysteropexy for the management of advanced uterovaginal prolapse. J Reprod Med. 2014;59:371–378. - PubMed
    1. Gracia M, Perello M, Bataller E, et al. Comparison between laparoscopic sacral hysteropexy and subtotal hysterectomy plus cervicopexy in pelvic organ prolapse: A pilot study. Neurourol Urodyn. 2015;34:654–658. - PubMed
    1. Andersen LL, Zobbe V, Ottesen B, et al. Five-year follow up of a randomised controlled trial comparing subtotal with total abdominal hysterectomy. BJOG. 2015;122:851–857. - PubMed
    1. Liang H, Chen G, Yu H, et al. Sling suspension: a new technique of treating uterine prolapse. Zhonghua Yi Xue Za Zhi. 2014;94:1664–1666. - PubMed
    1. Iliev VN, Andonova IT. Uterus preserving vaginal surgery versus vaginal hysterectomy for correction of female pelvic organ prolapse. Prilozi. 2014;35:243–247. - PubMed

LinkOut - more resources