2340 Novel Surgical Approach Incorporating A Dermal Allograft with the Sacropinous and Uterosacral Ligaments to Address Apical Prolapse

Abstract

Video Objective To show a novel approach to support the apex in a post-hysterectomy vaginal vault prolapse. Increasing data shows the importance of apical support, and we know from prior studies that the anterior compartment recurs more often. This technique offers support of both the anterior and posterior apex in a manner that augments the apex to reduce recurrences. Setting 64 year old female with multi-compartment post-hysterectomy vaginal vault prolapse. Interventions The video explains the surgical technique utilized in a step by step approach. Conclusion The procedure shown combines different techniques that have been described separately with the addition of combining them and augmenting the apex. This offers a vaginal procedure that increases support of the apex both anteriorly and posteriorly to reduce recurrent prolapse. To show a novel approach to support the apex in a post-hysterectomy vaginal vault prolapse. Increasing data shows the importance of apical support, and we know from prior studies that the anterior compartment recurs more often. This technique offers support of both the anterior and posterior apex in a manner that augments the apex to reduce recurrences. 64 year old female with multi-compartment post-hysterectomy vaginal vault prolapse. The video explains the surgical technique utilized in a step by step approach. The procedure shown combines different techniques that have been described separately with the addition of combining them and augmenting the apex. This offers a vaginal procedure that increases support of the apex both anteriorly and posteriorly to reduce recurrent prolapse.