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Vaginal vault prolapse avoiding failure in colposacropexy

Obstetrics & Gynecology International Journal
Alejandro Siu Au MD, PhD,1 Diego Siu Chang MD2


Introduction: Vault prolapse is an entity that will be seen more frequently and regardless of the approach to the problem, the most important thing is that the suspension of the vault is as durable or permanent as possible. There are many techniques but colposacrosuspension with mesh application has been considered the best and is the Gold Standard. This study, for the success of surgery, evaluates the number of sutures of the vaginal vault to the sacrospinous bone using a mesh for the approximation and suspension of the vault prolapse.
Material and methods: There were four groups of 185 patients, in which one pair of sutures was used in the first group, two pairs of sutures were used in the second group, three pairs of sutures were used in the third group, and four pairs of sutures were used in the fourth group structures.
Results: The fourth group was the most successful when none had recurrences over time, constituting 100% success. 
Conclusion: Four pairs of sutures should be applied, four from the vaginal vault to the mesh and four from the mesh to the sacrospinous bone, thus constituting a successful colposacropexy.


vault prolapse, colposacropexy, success