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.

Zusammenfassung

Die Scheidenstumpffixation im Rahmen der Prolaps-Hysterektomie ist Therapie der apikalen Insuffizienz und gleichermaßen Rezidivprophylaxe. Es existieren zahlreiche Techniken, die mit unterschiedlichen anatomischen Resultaten und Komplikationen einhergehen. Die Darstellung der verschiedenen Vorgehensweisen und Vorstellung der Scheidenstumpffixationstechnik der Klinik für Urogynäkologie am St. Hedwig Krankenhaus kann als Grundlage für eine Neubewertung und Empfehlung durch die Fachgesellschaften zu einem einheitlichen Standard dienen.

Key words

Vaginal vault suspension - hysterectomy - prolapse - standard

Schlüsselwörter

Scheidenstumpffixation - Hysterektomie - Prolaps - Standard

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