Abstract
ABSTRACTObjective To report the short‐term effectiveness and safety of a combined vaginal and laparoscopic approach to sacrocolpopexy in the management of vaginal vault prolapse.Design A retrospective analysis of 22 patients.Results The mean operating time was 105 min. The only significant intraoperative complication was a rectal injury. The mean length of hospital stay was 3.18 days. Erosion of the Prolene mesh occurred in two women. The vaginal vault remained well supported in all 22 patients, over a mean follow‐up time of 12.5 months. Three women have required further surgery for a symptomatic cystocele.Conclusion A combined vaginal/laparoscopic approach to sacrocolpopexy appears to be effective and associated with a low risk of intraoperative and postoperative morbidity. Its principal advantage over a completely laparoscopic approach is in removing the technical demands of laparoscopic suturing.
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