Related Experiment Video
Updated: Aug 8, 2026
10:32
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
A composite vaginal vault suspension using fascia lata
American Journal of Obstetrics and Gynecology
|November 1, 1976
Summary
This study presents a safe surgical technique for complete vaginal prolapse using fascia lata. The composite procedure demonstrated no vault recurrence or painful intercourse in most patients, offering a dependable solution.
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
- Reconstructive Surgery
Background:
- Complete vaginal prolapse affects many women, impacting quality of life.
- Previous surgical approaches have varying success rates and potential complications.
- A need exists for safe, effective, and dependable surgical options, especially for sexually active women.
Purpose of the Study:
- To describe a composite surgical procedure for complete vaginal prolapse.
- To evaluate the safety, ease, and dependability of this technique.
- To assess outcomes regarding prolapse recurrence and sexual function.
Main Methods:
- A composite surgical approach combining vaginal and abdominal techniques.
- Utilizing homologous fascia lata as a suspending material.
- The procedure was performed on twelve patients over four years.
Main Results:
- No recurrence of prolapsed vault was observed in twelve patients.
- No reported cases of dyspareunia (painful intercourse) for either partner.
- One patient experienced recurrent enterocele despite preventative measures.
- No mortality was associated with the procedure.
Conclusions:
- The described composite procedure is a safe, easy, and dependable surgical option for complete vaginal prolapse.
- Fascia lata suspension offers a reliable method for vault support.
- The technique appears to preserve sexual function and minimize recurrence.
Related Concept Videos
01:18Veins of the Abdomen and Pelvis
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
01:26Vagina
The vaginal canal is a tubular structure averaging about 10 cm in length that acts as the entryway to the female reproductive system and the passageway for menstrual flow and childbirth. The interior walls of the vagina exhibit concentric folds called rugae and are topped by an area known as the fornix, which connects with the protruding cervical portion of the uterus. This canal is comprised of an external fibrous layer, a muscular middle layer, and an inner lining with mucosal rugae, which...
01:22Mitral Valve Prolapse II: Assessment and Management
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
01:25Hiatal Hernia
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...