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Entry into the peritoneal cavity in posthysterectomy prolapse: an educational video

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Abstract

Introduction and hypothesis

Entry into the peritoneal cavity can be challenging in patients with posthysterectomy prolapse; however, it is important for vaginal surgeons to be able to enter the peritoneal cavity using various techniques to perform an intraperitoneal vaginal vault suspension.

Methods

We present surgical footage of various methods of accessing the peritoneal cavity in posthysterectomy prolapse using posterior, anterior and apical approaches.

Results

This video highlights surgical techniques that can be used to enter the peritoneal cavity in posthysterectomy prolapse in a safe and reliable manner.

Conclusions

Vaginal surgeons should be able to safely and confidently identify and enter the peritoneal cavity using various approaches to perform an intraperitoneal vaginal vault suspension.

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Author information

Authors and Affiliations

  1. Section of Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology & Women’s Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA

    C. Emi Bretschneider, Karl Jallad & Mark D. Walters

  2. Advanced Urogynecology and Pelvic Surgery, The Christ Hospital, Cincinnati, OH, USA

    Patrick M. Lang & Mickey M. Karram

Authors
  1. C. Emi Bretschneider
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  2. Karl Jallad
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  3. Patrick M. Lang
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  4. Mickey M. Karram
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  5. Mark D. Walters
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Corresponding author

Correspondence to C. Emi Bretschneider.

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Conflicts of interest

C.E.B., K.J., P.L. and M.M.K. do not have any disclosures. M.D.W. acts as a consultant and lecturer for Coloplast.

Consent

Written informed consent was obtained from the patients for publication of this video article and any accompanying images.

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Bretschneider, C.E., Jallad, K., Lang, P.M. et al. Entry into the peritoneal cavity in posthysterectomy prolapse: an educational video. Int Urogynecol J 28, 1261–1262 (2017). https://doi.org/10.1007/s00192-017-3267-x

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  • DOI: https://doi.org/10.1007/s00192-017-3267-x

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