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Updated: Jan 23, 2026
05:21
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
417
Prophylactic McCall Culdoplasty by a Vaginal Approach during Mini-Laparoscopic Hysterectomy
Servet Gencdal1, Emine Demirel1, Zeynep Soyman2
1Izmir Katip Celebi University, Atatürk Education and Research Hospital, Department of Obstetrics and Gynecology, Izmir, Turkey.
Biomed Research International
|June 26, 2019
Summary
Prophylactic McCall culdoplasty during mini-total laparoscopic hysterectomy improves apical vaginal support and reduces prolapse risk. This procedure is safe and effective for long-term pelvic support.
Area of Science:
- Gynecological Surgery
- Minimally Invasive Procedures
- Pelvic Floor Reconstruction
Background:
- Hysterectomy increases the risk of enterocele and vaginal apical prolapse.
- Maintaining apical support is crucial after hysterectomy.
Purpose of the Study:
- To evaluate the safety and efficacy of prophylactic McCall culdoplasty (MC) during mini-total laparoscopic hysterectomy (mini-TLH).
- To compare apical support, vaginal length, and sexual function post-mini-TLH with and without MC.
Main Methods:
- Retrospective review of women undergoing mini-TLH (control) versus mini-TLH + MC (study group).
- Comparison of apical support, total vaginal length, and sexual function at one and two years postoperatively.
Main Results:
- The mini-TLH + MC group showed improved apical vaginal support compared to the mini-TLH group.
- Vaginal vault descent was less prominent in the mini-TLH + MC group at two years.
- Apical support changes were significantly greater in the mini-TLH + MC group at two years.
Conclusions:
- Prophylactic McCall culdoplasty during mini-TLH is a safe and effective procedure.
- MC provides satisfactory and efficient apical support with minimal morbidity.
- This technique enhances long-term pelvic support after hysterectomy.
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