International Urogynecology Journal

, Volume 28, Issue 8, pp 1261–1262 | Cite as

Entry into the peritoneal cavity in posthysterectomy prolapse: an educational video

  • C. Emi BretschneiderEmail author
  • Karl Jallad
  • Patrick M. Lang
  • Mickey M. Karram
  • Mark D. Walters
IUJ Video


Introduction and hypothesis

Entry into the peritoneal cavity can be challenging in patients with posthysterectomy prolapse; however, it is important for vaginal surgeons to be able to enter the peritoneal cavity using various techniques to perform an intraperitoneal vaginal vault suspension.


We present surgical footage of various methods of accessing the peritoneal cavity in posthysterectomy prolapse using posterior, anterior and apical approaches.


This video highlights surgical techniques that can be used to enter the peritoneal cavity in posthysterectomy prolapse in a safe and reliable manner.


Vaginal surgeons should be able to safely and confidently identify and enter the peritoneal cavity using various approaches to perform an intraperitoneal vaginal vault suspension.


Peritoneal cavity Posthysterectomy prolapse 


Compliance with ethical standards

Conflicts of interest

C.E.B., K.J., P.L. and M.M.K. do not have any disclosures. M.D.W. acts as a consultant and lecturer for Coloplast.


Written informed consent was obtained from the patients for publication of this video article and any accompanying images.

Supplementary material


(MP4 48306 kb)


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Copyright information

© The International Urogynecological Association 2017

Authors and Affiliations

  • C. Emi Bretschneider
    • 1
    Email author
  • Karl Jallad
    • 1
  • Patrick M. Lang
    • 2
  • Mickey M. Karram
    • 2
  • Mark D. Walters
    • 1
  1. 1.Section of Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology & Women’s Health InstituteCleveland ClinicClevelandUSA
  2. 2.Advanced Urogynecology and Pelvic SurgeryThe Christ HospitalCincinnatiUSA

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