{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T04:02:40Z","timestamp":1685419360998},"reference-count":6,"publisher":"National Library of Serbia","issue":"11-12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med pregl","MED PREGLED"],"published-print":{"date-parts":[[2008]]},"abstract":"<jats:p>Introduction The vaginal vault prolapse after hysterectomy is a complex disorder, which can be associated with the prolapse of anterior or posterior vaginal wall or cystorectocele. The exact incidence is unknown, and is within the range from 1 - 43% of operated patients. In order to achieve the complete surgical reconstruction of the pelvic floor disorder, a surgeon must have good knowledge of normal anatomic relations of pelvic organs. Material and methods Twenty-nine women with the vaginal vault prolapse after hysterectomy were operated at Clinic for Gynecology and Obstetrics in Novi Sad during the period from 1995 - 2007. After standard preoperative procedures, positioning of the patient and inferior medial abdominal incision, the supportive graft made of non-resorptive materials was fixed to the vaginal fornix and sacral periost from the promontory to the level of S 3-4 vertebrae. Results The average age of the patients was 61.4 years. The following supportive materials were used: mersilen mesh (16), allograft made of m. rectus abdominis fascia (5), prolen (4), fascia lata strip (2) and common Silk sutures (2). Additional operations (Moschowitz Douglasoraphy, Kelly-Marion anterior vaginal repair, colpoperineoplasty and Burchcolposuspension) were performed in 20 (68.9%) patients. Discussion There were 7 (23.8%) postoperative complications. The erosion of mersilen mesh was detected in 2 (6.8%) patients, and recurrence of vaginal vault prolaps and cystorectocele in 3 (10.2%) patients. According to other authors, the erosion of synthetic materials occurs in about 3.4%, and recurrence of vaginal vault prolaps in 0-22% of operated patients. Conclusion The complete vaginal vault prolaps after hysterectomy is a complex anatomic disorder which has a great impact on the life quality and significantly disturbs patient's psychosocial sphere. Surgical treatment involves abdominal or vaginal access and is planned individually for each patient.<\/jats:p>","DOI":"10.2298\/mpns0812620d","type":"journal-article","created":{"date-parts":[[2009,4,6]],"date-time":"2009-04-06T11:56:25Z","timestamp":1239018985000},"page":"620-624","source":"Crossref","is-referenced-by-count":0,"title":["Abdominal sacrocolpopexy in surgical treatment of complete vaginal vault prolapse after hysterectomy"],"prefix":"10.2298","volume":"61","author":[{"given":"Srdjan","family":"Djurdjevic","sequence":"first","affiliation":[{"name":"Klinika za ginekologiju i aku\u0161erstvo, Klini\u010dki centar Vojvodine, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tihomir","family":"Vejnovic","sequence":"additional","affiliation":[{"name":"Klinika za ginekologiju i aku\u0161erstvo, Klini\u010dki centar Vojvodine, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandar","family":"Curcic","sequence":"additional","affiliation":[{"name":"Klinika za ginekologiju i aku\u0161erstvo, Klini\u010dki centar Vojvodine, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ljiljana","family":"Mladenovic-Segedi","sequence":"additional","affiliation":[{"name":"Klinika za ginekologiju i aku\u0161erstvo, Klini\u010dki centar Vojvodine, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marko","family":"Maksimovic","sequence":"additional","affiliation":[{"name":"Klinika za ginekologiju i aku\u0161erstvo, Klini\u010dki centar Vojvodine, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70243-0"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.07.017"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.111298"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.109654"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)90410-7"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70084-4"}],"container-title":["Medicinski pregled","Medical review"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T09:21:18Z","timestamp":1685352078000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0025-81050812620D"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008]]},"references-count":6,"journal-issue":{"issue":"11-12","published-print":{"date-parts":[[2008]]}},"URL":"https:\/\/doi.org\/10.2298\/mpns0812620d","relation":{},"ISSN":["0025-8105","1820-7383"],"issn-type":[{"value":"0025-8105","type":"print"},{"value":"1820-7383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008]]}}}