[Prevention of vaginal prolapsus after abdominal hysterectomies (author's transl)].

According to foreign authors, the prolapsus vaginae occurs in 0.01--0.5% cases after abdominal hysterectomy. It has been proved that the prolapsus can be prevented if an adequate operational technique is applied. The authors describe their own operational method consisting of intrafascial hysterectomy after Aldridge and Meredith, followed by the fixation of the vaginal vault with round ligaments. During an eleven-year period (1969-1979), 982 abdominal hysterectomies using this method were performed without a single case of prolapsus of the vaginal vault.