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.
We present surgical footage of various methods of accessing the peritoneal cavity in posthysterectomy prolapse using posterior, anterior and apical approaches.
This video highlights surgical techniques that can be used to enter the peritoneal cavity in posthysterectomy prolapse in a safe and reliable manner.
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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Loring M, Morris SN, Isaacson KB. Minimally invasive specialists and rates of laparoscopic hysterectomy. JSLS. 2015;19(1):e2014.00221.
Altman D, Falconer C, Cnattingius S, Granath F. Pelvic organ prolapse surgery following hysterectomy on benign indications. Am J Obstet Gynecol. 2008;198(5):572.e1–572.e6.
Klauschie JL, Cornella JL. Surgical treatment of vaginal vault prolapse: a historic summary and review of outcomes. Female Pelvic Med Reconstr Surg. 2012;18(1):10–17.
Maher C, Feiner B, Baessler K, Christmann-Schmid C, Haya N, Brown J. Surgery for women with apical vaginal prolapse. Cochrane Database Syst Rev. 2016;10:CD012376.
Anand M, Weaver AL, Fruth KM, Gebhart JB. Factors influencing selection of vaginal, open abdominal, or robotic surgery to treat apical vaginal vault prolapse. Female Pelvic Med Reconstr Surg. 2016;22(4):236–242.
Park AJ, Ridgeway B, Gustilo-Ashby AM, Paraiso MF, Walters MD, Barber MD. Efficacy of a standardized technique of trans-vaginal entry into the peritoneal cavity for post-hysterectomy vaginal vault suspension. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(10):1393–1398.
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.
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
- Peritoneal cavity
- Posthysterectomy prolapse