Vaginal Vault Prolapse In Obese Females Following Total Hysterectomy- An Observational Study

Abstract

Introduction: Most common surgical intervention in gynecology remains total hysterectomy done in 30% to 60% of cases with steadily increasing incidence every year with the most common indication being uterine bleeding and fibroids not managed conservatively along with endometrial and cervical cancer.

Aim: To assess Vaginal vault prolapse in obese females following total hysterectomy.

Methods: The study included 282 obese females of age between 40-80 years, undergoing total hysterectomy; two surgical techniques were assessed for apical prolapse prevention following total hysterectomy.

Results: Following long-term assessment after hysterectomy, most of the obese females were satisfied with the surgical procedures and noted an improvement in their quality-of-life following hysterectomy.

Conclusion: The present study concludes that vagina vault prolapse is prevented with a new surgical technique owing to fixed seam, reduced Douglass space by lifting and stretching, and enterocele formation. Sexual function is also not disturbed by the maintained horizontal vaginal axis by this technique.