Transvaginal surgery for uterine scar dehiscence

Asymptomatic uterine rupture, usually discovered during routine uterine examination because of a pre-existing uterine scar, it treated by techniques that include suturing the dehiscence via abdominal access, total or subtotal hysterectomy or therapeutic non-intervention. The authors propose a transvaginal technique.

Transvaginal colpo-urethropexy with fibrin sealant: 4 years-follow up in 23 cases

A method of transvaginal colpo-urethropexy, using fibrin sealant was studied clinically. After a fingertip vaginal retropubic dissection, fibrin sealant is instilled in the retropubic space with the intent of inducing fibrosis between the elevated urethro-vesical junction and the retropubic periosteum. Twenty-three patients with urinary stress incontinence underwent this procedure with 82% of satisfactory results and 18% failure. Complications were minimal. In the future, this technique could be useful for ambulatory surgery.