PakMediNet Discussion Forum : Obstetrics and Gynecology : vault prolapse
management of vault descent post hysterectomy can be a challenging task. Recent advances in the field of pelvic floor dysfunction has imparted the clinicians better insight into the pathophysiology underlying various types of vaginal prolapses.
fascial defects correction and support proceedures to restore anatomical configuration and maintain function is the key factor considerations when planning pelvic floor repair.
new types of slings using synthetic meshes are being increasingly employed to correct and strengthen the vaginal walls and the vault in cases of vaginal prolapse.
elevation and fixation of the vault to the sacrospinous ligament has been successfully used worldwide. however more recently intravaginal sling plasty is gaining popularity with good short term success. we await the results of randomized controlled trials to aasess the efficacy of these so called minimally invasive slingplasty with interset.
Posted by: afarrukh Posts: 16 :: 10-06-2005 :: | Reply to this Message
Why not prevent vault prolapse by adopting a technique tought by some but not mentioned in any of the books? Are you aware of that?
Posted by: chameed Posts: 173 :: 14-08-2005 :: | Reply to this Message
could you explain the specific technique!
prevention is better than cure but not always possible.
what is your preferred management strategy?
Posted by: afarrukh Posts: 16 :: 08-02-2007 :: | Reply to this Message
This is done in the OR.
Posted by: chameed Posts: 173 :: 19-02-2007 :: | Reply to this Message
Sorry Dr farrukh
again you wrote
''elevation and fixation of the vault to the sacrospinous ligament has been successfully used worldwide. however more recently intravaginal sling plasty is gaining popularity with good short term success. we await the results of randomized controlled trials to aasess the efficacy of these so called minimally invasive slingplasty with interset.''
Ok What is this
Your analysis.
From some publication
or any abstract
or any book.
your own comments
What was the purpose of this?
Can you please explain.
What you want to ask or what info you want to give.
Now if you are copying & pasting a para from some book without context its ridiculous.
Posted by: drjunaid27 Posts: 19 :: 01-09-2007 :: | Reply to this Message
Post-hysterectomy vault prolapse, is a good example of a poorly trained surgeon.
Posted by: chameed Posts: 173 :: 19-12-2007 :: | Reply to this Message
YOUR COMMENTS ARE RIDICULOUS!
i am surprised that working in UK you arent aware of these advancements.
if you regularly read journals and keep up to date, this is a common language in speciality. it does sound cut and paste to those who dont keep up with the latest.
Posted by: afarrukh Posts: 16 :: 04-01-2008 :: | Reply to this Message
quote:
Why not prevent vault prolapse by adopting a technique tought by some but not mentioned in any of the books? Are you aware of that?
quote:
This is done in the OR.
Posted by: zain Posts: 35 :: 16-01-2008 :: | Reply to this Message