TY - JOUR
T1 - Maintaining the apex
T2 - a novel technique for vault suspension during vaginal hysterectomy
AU - Daykan, Yair
AU - Rotem, Reut
AU - Galvin, Daniel
AU - O’Sullivan, Orfhlaith E.
AU - O’Reilly, Barry A.
N1 - Publisher Copyright:
© 2023, The International Urogynecological Association.
PY - 2024/1
Y1 - 2024/1
N2 - Introduction and hypothesis: Post-hysterectomy vault prolapse poses significant challenges to patients and surgeons alike. Despite numerous surgical interventions during initial vaginal hysterectomy to counteract this, a comparative analysis of their efficacy is limited. This study introduces a pioneering technique intended to avert vault prolapse during vaginal hysterectomy by harmoniously merging level 1 and level 2 support. Methods: After obtaining informed consent, we recorded a variation of the McCall technique performed during vaginal hysterectomy and anterior repair. Patient follow-ups were conducted up to 6 months post-operation to evaluate anatomical outcomes and quality of life. Results: A total of 46 women underwent the surgery. Anatomical evaluations at the 6-month mark were commendable, with no recurrence instances. Quality-of-life assessments, using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12), showcased substantial improvement. Conclusion: Our novel approach to vault suspension provides an uncomplicated, easily impartible, surgical procedure utilizing standard sutures. We believe that this approach is both enduring and safe.
AB - Introduction and hypothesis: Post-hysterectomy vault prolapse poses significant challenges to patients and surgeons alike. Despite numerous surgical interventions during initial vaginal hysterectomy to counteract this, a comparative analysis of their efficacy is limited. This study introduces a pioneering technique intended to avert vault prolapse during vaginal hysterectomy by harmoniously merging level 1 and level 2 support. Methods: After obtaining informed consent, we recorded a variation of the McCall technique performed during vaginal hysterectomy and anterior repair. Patient follow-ups were conducted up to 6 months post-operation to evaluate anatomical outcomes and quality of life. Results: A total of 46 women underwent the surgery. Anatomical evaluations at the 6-month mark were commendable, with no recurrence instances. Quality-of-life assessments, using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12), showcased substantial improvement. Conclusion: Our novel approach to vault suspension provides an uncomplicated, easily impartible, surgical procedure utilizing standard sutures. We believe that this approach is both enduring and safe.
KW - McCall culdoplasty
KW - Modified McCall
KW - Vaginal hysterectomy
KW - Vault suspension
UR - http://www.scopus.com/inward/record.url?scp=85176088443&partnerID=8YFLogxK
U2 - 10.1007/s00192-023-05666-3
DO - 10.1007/s00192-023-05666-3
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C2 - 37938398
AN - SCOPUS:85176088443
SN - 0937-3462
VL - 35
SP - 253
EP - 256
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 1
ER -