Additional procedures, including vaginal hysterectomy, McCall's culdoplasty, sacrospinous colpopexy and sacrospinous cervicopexy, were carried out wherever appropriate.
Many procedures were accompanied by other procedures, including McCall's culdoplasty and others.
The abdominal sacral colpopexy offers the following advantages, consistent anatomy, most definitive enterocele repair and culdoplasty
9%), and lowest among those who underwent distal McCall's culdoplasty
9%) than other procedures used in the series, including proximal McCall's culdoplasty
Prevention is the best medicine when it comes to enterocele formation, so consider performing a McCall's culdoplasty in all patients undergoing vaginal hysterectomy, G.
I almost always do McCall's culdoplasty when I do a vaginal hysterectomy, and so should you," Dr.
Also, a culdoplasty technique described in 1957 and later modified has been shown in at least one study to help prevent posthysterectomy prolapse.
Vaginal approaches to repair include culdoplasty and uterosacral ligament suspension, sacrospinous fixation, intravaginal slingplasty (IVS), and fixation of the vagina to the iliococcygeus ligament.
The major complication of the Burch procedure is subsequent prolapse; however, this risk can be greatly reduced by careful intraoperative evaluation for potential future defects; which can be prevented by culdoplasty
at the time of the Burch procedure, Dr.
A McCall culdoplasty or other similar procedure would not be feasible if the cervix is left in situ.
CISH is certainly an impressive display of laparoscopic prowess and gadgetry, but it is an expensive, overly complicated substitute for an efficiently performed vaginal hysterectomy and culdoplasty.