Abdominal Sacral Colpopexy with Mersilene Mesh

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Abstract
Introduction: This study focussed on abdominal sacral colpopexy with Mersilene mesh to correct total vaginal vault prolapse. Our aim was to describe and explain our operative modifications. Materials and Methods: From 1992 and 1999, we performed sacrocolpopexy on 25 patients for vaginal vault prolapse. We proposed a change by interposing a mesh between the vaginal vault and the sacral promontory shaped as an inverted ‘V’. Results: No intraoperative or postoperative complications were encountered; to date the outcome of all patients was satisfactory. Conclusion: Based on the results of the follow-up, this new surgical approach of abdominal sacral colpopexy can be considered as effective surgery for vaginal vault prolapse.

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