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Re: Vaginal Vault Prolapse From: Bernard Cristalli (bcrist@club-internet.fr) Tue Mar 7 23:15:33 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: croure@ibm.net: "Re: vacuum extraction criteria" Previous message: Robert J. Woolley: "Re: Heroin Addiction" In reply to: Dr. Susan D. Peck: "Vaginal Vault Prolapse" Next in thread: Gregory Lang: "Re: Vaginal Vault Prolapse" What you (she) need is a vault sacro-suspension. Do it either laparoscopically or by laparotomy. A Richter's vaginal spino suspension wouldn't be effective enough and the risk is to undo what you already did on the anterior vagina. -- Bernard Cristalli MD AMACOG AIHP - ACCA Paris France Bernard.Cristalli@CliniquedelEssonne.fr http://www.CliniquedelEssonne.fr http://www.obgyn.net/corresp/cristalli.htm http://www.gyneweb.fr '64 Mk2 3.8 > De : docspike@hotmail.com Wed Mar 8 03:37:35 2000 > Répondre à : ob-gyn-l@obgyn.net > Date : Tue, 7 Mar 2000 20:34:59 -0600 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Objet : Vaginal Vault Prolapse > > 54 year old white female with vaginal vault prolapse after successful > cytourethropexy and cystocele repair. Using a gelhorn pessary to > support the vault until school is out. What method of vault support do > you find the best long term results with - laparoscopic suspension with > culdoplasty and attachment of vaginal vault to presacral region, vaginal > enterocele repair with uterosacral ligament plication or sacrospinous > ligament suspension.? Pt wants to be sexually active and I find the > sacrospinous approach angles the vagina to the side. I'd be open to any > and all ideas. > Next message: croure@ibm.net: "Re: vacuum extraction criteria" Previous message: Robert J. Woolley: "Re: Heroin Addiction" In reply to: Dr. Susan D. Peck: "Vaginal Vault Prolapse" Next in thread: Gregory Lang: "Re: Vaginal Vault Prolapse"

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