Abdominal hysterectomy with or without angle stitch: correlation with subsequent vaginal vault prolapse - 21/08/11
Résumé |
Objective |
The objective of the study was to assess whether cardinal-uterosacral ligament lateral vaginal cuff angle stitches at the time of total hysterectomy may assist in preventing subsequent apical vault prolapse.
Study Design |
Total hysterectomies without cuff angle stitches were performed in 7 unembalmed cadavers. Successive hanging weights of 1, 2, 3, and 4 kg were loaded against the vaginal cuff and distances moved were recorded. The same process was repeated after tying bilateral angle stitches.
Results |
Average distances pulled with 1, 2, 3, and 4 kg of traction against the cuff without angle stitches were 14.6 ± 1.4, 19.1 ± 1.7, 23.1 ± 2.3, and 27.6 ± 2.0 mm, respectively. After completing angle sutures, these distances were 13.1 ±1.1, 17.3 ± 1.5, 20.9 ± 1.9, and 25.1 ± 2.6 mm, respectively (P = .026).
Conclusion |
Methodical incorporation of the cardinal-uterosacral ligaments into the vaginal cuff margins at time of total abdominal hysterectomy may help minimize subsequent apical vault prolapse.
Le texte complet de cet article est disponible en PDF.Key words : anatomy, apical support, cardinal ligament, uterosacral ligament
Plan
| Cite this article as: Rahn DD, Stone RJ, Vu AK, et al. Abdominal hysterectomy with or without angle stitch: correlation with subsequent vaginal vault prolapse. Am J Obstet Gynecol 2008;199:669.e1-669.e4. |
|
| Reprints not available from the authors. |
Vol 199 - N° 6
P. null - décembre 2008 Retour au numéro
Article précédent
- Risk factors associated with failure 1 year after retropubic or transobturator midurethral slings
- Matthew D. Barber, Steven Kleeman, Mickey M. Karram, Marie Fidela R. Paraiso, Mark Ellerkmann, Sandip Vasavada, Mark D. Walters
- Incidence and risk factors for surgical intervention after uterine artery embolization
- Amy J. Park, Justin C. Bohrer, Linda D. Bradley, Gouri B. Diwadkar, Eunice Moon, James S. Newman, J. Eric Jelovsek
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?