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Related Experiment Videos

[Richter's spinofixation in vaginal prolapse]

J Giuly1, L Cravello, C D'Ercole

  • 1Clinique Fallen, Aubagne.

Chirurgie; Memoires De L'Academie De Chirurgie
|January 1, 1997
PubMed
Summary

The Richter operation, a transvaginal sacrospinous fixation, effectively treats vaginal vault prolapse post-hysterectomy. This vaginal approach offers comparable results to abdominal fixation, with potential for broader applications in advanced prolapse cases.

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Area of Science:

  • Gynecology
  • Urogynecology
  • Pelvic Floor Surgery

Context:

  • Vaginal vault prolapse is a common complication following hysterectomy.
  • Surgical management aims to restore pelvic anatomy and function.
  • Transvaginal sacrospinous fixation offers an alternative to abdominal approaches.

Purpose:

  • To evaluate the efficacy and indications of the transvaginal sacrospinous fixation (Richter operation) for pelvic organ prolapse.
  • To compare transvaginal sacrospinous fixation with abdominal promontory fixation.
  • To explore the extended indications for this vaginal surgical technique.

Summary:

  • The Richter operation, a transvaginal sacrospinous fixation, demonstrates comparable efficacy to abdominal promontory fixation for vaginal vault prolapse.

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  • Good outcomes were observed in treating advanced prolapse (V3 U3 R3) and elytrocele.
  • While effective, a small percentage of patients may experience residual cystocele.

    • Impact:

    • Provides a valuable minimally invasive surgical option for pelvic organ prolapse.
    • Supports the extension of indications for transvaginal sacrospinous fixation.
    • Highlights the need for careful patient selection to minimize residual symptoms.