[Williams-Richardson vaginopexy. An abdominal suspension operation in prolapse and extensive vaginal descent]

Vaginopexy according to Williams and Richardson is an abdominal colposuspension by strips from external oblique aponeurosis. It is indicated in cases of severe descent or prolapse of the vagina when the ability to have intercourse has to be maintained. At the Department of Gynecology and Obstetrics, AKH Celle, between 1989 and 1996 99 patients of whom 90 had already been operated before were treated by the Williams-Richardson method. An examination of 60 patients with a follow-up time period of 6 months to 6 years showed satisfying results in 54 patients with adequate vaginal support. In 12 cases postoperative hernia of the abdominal wall occurred. Since a vicryl mesh is used in addition to the external oblique aponeurosis, this complication has no longer been observed.