Abdominal vault suspension with rectus sheath strips: a case series.
1Department of Obstetrics and Gynaecology, Worthing and Southlands Hospitals NHS Trust, West Sussex, UK. agayen67@aol.com
Summary
Abdominal vault suspension (AVS) using rectus sheath strips effectively treats vaginal vault prolapse, with 94% of patients experiencing symptom resolution. This technique offers a safe alternative to mesh procedures, minimizing complication risks.
Area of Science:
- Gynecology
- Pelvic Floor Surgery
Background:
- Vaginal vault prolapse is a common condition affecting women's quality of life.
- Surgical options for vaginal vault prolapse include abdominal and vaginal approaches, each with associated risks and benefits.
Purpose of the Study:
- To evaluate the clinical outcomes of abdominal vault suspension (AVS) using rectus sheath strips for treating vaginal vault prolapse.
- To assess the safety, efficacy, and long-term recurrence rates of this surgical technique.
Main Methods:
- A retrospective case series of 34 patients undergoing AVS using rectus sheath strips.
- Follow-up included clinical assessment at 3-6 months and questionnaires up to 90 months.
- Outcome measures focused on complications, symptom improvement, and prolapse recurrence.
Main Results:
- No serious intraoperative complications were reported.
- 94% of patients achieved subjective resolution of prolapse symptoms.
- No bowel problems were observed postoperatively or long-term.
Conclusions:
- Abdominal vault suspension (AVS) with rectus sheath strips is a safe and effective treatment for vaginal vault prolapse.
- Utilizing autologous tissue avoids mesh-related complications, presenting a favorable alternative to other abdominal suspension methods.
