Rational therapy for the prolapsed vagina

Birnbaum, Stanley J.

doi:10.1016/0002-9378(73)90599-1

Cited by 112 publications

(47 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several reports [7, 8, 10], which our results have confirmed, have shown benefits are guaranteed for several years. This type of operation can be recommended in relatively young women of working age who are still sexually active.…”

Section: Discussionsupporting

confidence: 76%

“…Later, different materials were interposed between the vagina and the sacrum and several technical variations proposed. In 1973, Birnbaum [7] successfully suggested using Teflon mesh because, when attached to the sacral promontory, it ensures a normal axis for the repositioned vagina and maximal vaginal depth is preserved which is particularly important if patients have previously undergone vaginal foreshortening operations. Using synthetic mesh also enables the sacral periosteum to support the vagina without excess tension.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Colposacropexy with Gore-Tex Mesh in Marked Vaginal and Uterovaginal Prolapse

Costantini

Lombi²,

Micheli³

et al. 1998

European Urology

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Colposacropexy with Gore-Tex Mesh in Marked Vaginal and Uterovaginal Prolapse

Costantini

Lombi²,

Micheli³

et al. 1998

European Urology

View full text Add to dashboard Cite

“…Concern for potential hemorrhage led to the current recommendation that the sacral end of the mesh be anchored at the S1–S2 level [4,5], higher than was suggested in the earlier description [2]. Textbooks describe the placement of two to four non-absorbable sutures through the anterior longitudinal ligament to affix the mesh to the sacrum, but acknowledge that ‘as few as one or two sutures can be placed depending on the vasculature and the exposure of the area’ [6].…”

Section: Introductionmentioning

confidence: 99%

“…This technique was initially described as fixation of the vagina to the anterior longitudinal ligament over the sacrum using a synthetic mesh bridge. The mesh supporting the upper vagina was attached to the ligament with three permanent sutures placed through a peritoneal incision ‘at least 5 cm below the sacral promontory ... in the hollow of the sacrum approximately 1 cm apart’ [2]. The mesh bridge has commonly been comprised of two segments of material – one each for attachment to the anterior and posterior vagina.…”

Section: Introductionmentioning

confidence: 99%

Sacral Mesh Pullout Strength Based on Suture Location for Sacrocolpopexy

Shippey

Sutter

Belkoff³

et al. 2012

Gynecol Obstet Invest

View full text Add to dashboard Cite

Background: We sought to compare the pullout strengths of the sacral end of the sacrocolpopexy mesh when attached using one suture at the first versus second sacral vertebral level (S1 vs. S2) in female cadaveric pelvises. Methods: The sacral vertebrae were isolated in 9 unembalmed female cadavers, and segments of polypropylene mesh were attached to the sacrum using stitches at either the S1 or S2 level. The free end of the mesh was pulled at a constant rate. Maximum tension prior to system failure was recorded for each specimen. Suture pullout strengths between the two groups were compared using the two-sample Wilcoxon rank-sum test. Results: In all but one specimen, failure of the system occurred at the point of suture attachment to the anterior longitudinal ligament. Among the nine specimens, median pullout strengths were 7.49 lb (interquartile range 7.95) at S1 and 3.15 lb (interquartile range 2.975) at S2 (p = 0.028). Conclusion: The pullout strength of sutures used to attach the sacrocolpopexy mesh to the sacrum is significantly higher at the S1 level than at the S2 level.

show abstract

“…Lane [3] used a similar technique in women with a posthysterectomy vault prolapse some years later. Birnbaum [4] demonstrated that abdominal sacrocolpopexy has the advantage of preserving sexual function. Addison and Timmons [5], having followed patients up for up to 20 years, believe sacrocolpopexy is the first choice in surgery for preserving vaginal function.…”

Section: Introductionmentioning

confidence: 99%

Abdominal Sacral Colpopexy with Mersilene Mesh

Leonardo¹,

Gentili²,

Leonardo³

2002

Urol Int

View full text Add to dashboard Cite

Introduction: This study focussed on abdominal sacral colpopexy with Mersilene mesh to correct total vaginal vault prolapse. Our aim was to describe and explain our operative modifications. Materials and Methods: From 1992 and 1999, we performed sacrocolpopexy on 25 patients for vaginal vault prolapse. We proposed a change by interposing a mesh between the vaginal vault and the sacral promontory shaped as an inverted ‘V’. Results: No intraoperative or postoperative complications were encountered; to date the outcome of all patients was satisfactory. Conclusion: Based on the results of the follow-up, this new surgical approach of abdominal sacral colpopexy can be considered as effective surgery for vaginal vault prolapse.

show abstract

Rational therapy for the prolapsed vagina

Cited by 112 publications

References 9 publications

Colposacropexy with Gore-Tex Mesh in Marked Vaginal and Uterovaginal Prolapse

Colposacropexy with Gore-Tex Mesh in Marked Vaginal and Uterovaginal Prolapse

Sacral Mesh Pullout Strength Based on Suture Location for Sacrocolpopexy

Abdominal Sacral Colpopexy with Mersilene Mesh

Contact Info

Product

Resources

About