LAPAROSCOPIC SACRAL COLPOPEXY FOR POST-HYSTERECTOMY RECURRENT VAGINALVAULT PROLAPSE

Recurrent post-hysterectomy vaginal vault prolapse is a difficult surg ical problem. Our experience of seven cases of such prolapse treated b y laparoscopic sacral colpopexy is reported. In all, the vaginal vault was fixed to the presacral region using a prolene mesh, with the enti re procedure being performed laparoscopically. Median follow-up is 6 m onths (range 2 to 18 months). All six patients with some follow-up rep orted excellent symptom-relief. The repairs were clinically assessed t o be excellent in five and good in the remaining patient.