Laparoscopic vaginal vault suspension using uterosacral ligaments: A review of 133 cases

Lawrence L. Lin, John Y. Phelps, C. Y. Liu

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

The objective of our study was to describe the surgical technique of laparoscopic vaginal vault suspension using the uterosacral ligaments. In addition, we performed a retrospective analysis of this laparoscopic technique on 133 patients with advanced symptomatic vaginal vault prolapse to evaluate the efficacy and durability of this laparoscopic technique. Efficacy and anatomic outcome were assessed by the Baden-Walker halfway scoring system before and after the surgical procedure. Preoperatively, all patients showed evidence of grade 2 or greater prolapse (descent to the level of the hymen). Fifty-one patients (38.4%) had uterovaginal prolapse, and 82 patients (61.6%) had vaginal vault prolapse. The patients were reevaluated at 1, 6, and 12 months postoperatively and yearly thereafter. The postoperative follow-up ranged from 2.0 to 7.3 years. Postoperatively, 116 patients (87.2%) had no recurrence of prolapse, and 17 patients (12.8%) had recurrence of prolapse. The major complication rate was 2.25%. We conclude that laparoscopic vaginal vault suspension is a safe, efficacious, and durable alternative for the management of vaginal vault prolapse.

Original languageEnglish (US)
Pages (from-to)216-220
Number of pages5
JournalJournal of Minimally Invasive Gynecology
Volume12
Issue number3
DOIs
StatePublished - Jun 2005

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Keywords

  • Laparoscopy
  • Uterosacral ligaments
  • Vaginal vault prolapse
  • Vaginal vault suspension

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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