Prevention Flashcards
1
Q
What techniques can be used to prevent vault prolapse?
A
McCull culdoplasty at the time of vaginal hysterectomy
Suturing cardinal and uterosacral ligament at the time of vaginal or abdominal hysterectomy
Sacrospinous fixation if vault at level of introitus when closing
2
Q
Describe McCull Culdoplasty
A
It involves approximating the uterosacral ligaments using continuous sutures, so as to obliterate the peritoneum of the posterior cul-de-sac as high as possible
3
Q
Does subtotal hysterectomy prevent vault prolapse?
A
No
