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  • Title: Posthysterectomy enterocele and vaginal vault prolapse.
    Author: Symmonds RE, Williams TJ, Lee RA, Webb MJ.
    Journal: Am J Obstet Gynecol; 1981 Aug 15; 140(8):852-9. PubMed ID: 7270596.
    Abstract:
    Of 421 patients with posthysterectomy enterocele and vault prolapse, 190 cases are reported for the first time. These 190 patients had 197 operations, 90% were vaginal procedures and 10% were abdominal-presacral suspension procedures; 88% of the operations provided good vaginal support and a satisfactory result. A vaginal repair is advocated for this condition because it provides an excellent result with minimal exposure of the frequently elderly patient to serious risk or disability. An abdominal-presacral suspension is advised only for those patients who are anxious to preserve vaginal function, in whom there is an inversion of an already much-operated-on, snug vagina.
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