Prevención del prolapso genital en histerectomía abdominal utilizando los ligamentos redondos: Experiencia personal

objective: to prevent vaginal vault prolapse, using a preoperative technique to fix the vaginal vault to the round ligaments in total abdominal hysterectomy, and identify associated pathology in the genital area. methods: after hysterectomy, we proceed to the closure of the vaginal vault with interrupted sutures with non-absorbable material, in number of 6-8, depending of the amplitude of the vagina, the distal ends are used to tie horizontally bilateral round ligaments. the setting of the two upper walls of the vagina, ensures greater stability of the vagina and lower possibility of occurrence of prolapse of the dome and/or the anterior and posterior vaginal walls. setting: servicio de ginecologia, hospital universitario de caracas results: the 124 patients undergoing hysterectomy, checked annually over a period of time between 2 and 27 years, with an average of 7 years, neither had vaginal prolapse. conclusion: histerectomy is the firstone gynecological operation. it requires making the suspension and fixation of the vaginal vault and simultaneously correct the genital tract associated pathology. the procedure we used had very favorable results. we can not compare our results with other techniques, do to scarse national an international references. the quality of life of women surgically intervened did not deteriorated, as usually happens when there is prolapse of the vaginal vault.