Vaginal vault suspension at hysterectomy for prolapse - Myths and facts, anatomical requirements, fixation techniques, documentation and cost accounting

Abstract

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. © 2013 Georg Thieme Verlag KG · Stuttgart · New York.