Bovis ISSN 2398-2993

Cervicopexy (transvaginal)

Contributor(s): Ash Phipps , Neil Paton

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Introduction

  • A technique that is considered to aid in the retention of an acute or chronic vaginal prolapse.
  • The cervicopexy technique results in the fixation of the external os of the cervix to the prepubic tendon.
  • The cervicopexy procedure is ideal for situations where the vaginal prolapse is associated with excessive redundancy of the ventral vaginal wall.
  • There are two possible approaches when performing the cervicopexy:
    • Via a flank laparotomy:
      • The flank laparotomy approach allows for the cervix to be more precisely fixed in place.
      • There is reduced risk of bladder and intestinal entrapment,
    • Via a vaginal approach (transvaginal approach):
      • The transvaginal approach is less invasive and easier to perform.
 This article will focus on the transvaginal approach.

Uses

Advantages

  • Minimally invasive surgical approach for the management of a vaginal prolapse.
  • Relatively easy surgical procedure to carry out.
  • Can be carried out under field conditions.

Disadvantages

  • There are a number of potential disadvantages of the cervicopexy procedure, these include:
    • Entrapment of the urethra.
    • Entrapment of the bladder.
    • Entrapment of the intestines.
    • Risk for bacterial infection.
    • Narrowing of the cervical lumen.
    • Altered positioning of the vagina.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good - low incidence of complications.

Further Reading

Publications

Refereed Papers

  • Recent references from PubMed and VetMedResource.
  • Miesner M D & Anderson D E (2008) Management of uterine and vaginal prolapse in the bovine. Veterinary clinics food animal practice 24, 409-419 PubMed.

Other sources of information

  • Fubini S L & Ducharme N (2004) Farm animal surgery. Elsevier Health Sciences, St Louis, Missouri, USA.
  • Turner S A & McIlwraith W C (1989) Cervicopexy For Vaginal Prolapse. In: Techniques in large animal surgery. 2nd edn. Lippincott Williams & Wilkins, Philidelphia, USA.


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