Entry into the peritoneal cavity in posthysterectomy prolapse: an educational video

Int Urogynecol J. 2017 Aug;28(8):1261-1262. doi: 10.1007/s00192-017-3267-x. Epub 2017 Feb 6.

Abstract

Introduction and hypothesis: Entry into the peritoneal cavity can be challenging in patients with posthysterectomy prolapse; however, it is important for vaginal surgeons to be able to enter the peritoneal cavity using various techniques to perform an intraperitoneal vaginal vault suspension.

Methods: We present surgical footage of various methods of accessing the peritoneal cavity in posthysterectomy prolapse using posterior, anterior and apical approaches.

Results: This video highlights surgical techniques that can be used to enter the peritoneal cavity in posthysterectomy prolapse in a safe and reliable manner.

Conclusions: Vaginal surgeons should be able to safely and confidently identify and enter the peritoneal cavity using various approaches to perform an intraperitoneal vaginal vault suspension.

Keywords: Peritoneal cavity; Posthysterectomy prolapse.

Publication types

  • Video-Audio Media

MeSH terms

  • Female
  • Humans
  • Hysterectomy / adverse effects*
  • Pelvic Organ Prolapse / etiology
  • Pelvic Organ Prolapse / surgery*
  • Peritoneal Cavity / surgery*
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery*
  • Urogenital Surgical Procedures / education
  • Urogenital Surgical Procedures / methods*
  • Vagina / surgery