Vaginal sacral-spinal fixation or Richter's procedure. Experience of a surgical team with 54 cases
Ko-Kivok-Yun, P.; Monrozies, X.; Ayoubi, J.; Elghaoui, A.; Reme, J.M.
Revue Francaise de Gynecologie et d'Obstetrique 90(12): 525-529
1995
ISSN/ISBN: 0035-290X PMID: 8677405 Document Number: 445446
Vaginal sacro-spino-fixation or Richter's procedure is valuable for the treatment of posthysterectomy vaginal prolapse. Although technically difficult, this procedure is associated with minimal trauma and is effective in correcting pelvic static disorders. There seem to be few complications. Results are very promising. The functional and anatomic improvements induced by the operation persist over the long term. Although the main indication is treatment of prolapse of the vaginal vault, Richter's procedure is also useful for the prevention of prolapse. Based on the experience acquired by a surgical team, the technique, indications, complications, and results of Richter's procedure are discussed.