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SAS Journal of Medicine | Volume-1 | Issue-03
Prevention and treatment of vault prolapsed
Astha Mulani, Rohit Jain, Haresh Doshi , Roshni Modi
Published: Sept. 30, 2015 | 88 91
DOI: 10.36347/sasjm.2015.v01i03.006
Pages: Page: 93-96
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Abstract
The aim of this study is to evaluate Preventive measures of vault prolapse and study possible technical aspects & complications of different surgical procedures for vault prolapse. This is a Prospective study from 2011 to 2013 at a tertiary care centre. Patients who required hysterectomy for different indications as well as those who had undergone hysterectomy in past & now developed vault prolapse were enrolled for the study.Total 100 patients which comprised of 48 patients of hysterectomy & 50 patients of post hysterectomy vault prolapse & 2 patients of LeFort colpocleisis were studied. Abdominal sacrocolpopexy is considered gold standard procedure for vault prolapse, it is an abdominal surgery & carries all disadvantages of laparotomy , while sacrospinous fixation can be done vaginally which is technically easy & less time consuming. Post-hysterectomy vault prolapse is of great concern to patient &gynecologist as well. sacrospinous fixation through the vaginal route is a surgery which can be done by gynecologist of average skill with no major complications.