| February 2007 · Vol. 19, No. 02 SURGICAL TECHNIQUES
How to manage the cuff at vaginal hysterectomy
The high McCall culdoplasty and its modifications can prevent apical prolapse and enterocele
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Fast Track
The McCall technique for posterior culdoplasty omits dissection and excision of the hernia sac or excess cul-de-sac peritoneum
With high uterosacral attachment, the uterosacral ligaments need not be brought together in the midline
Patients undergoing McCall repair had a 6.1% risk of prolapse, versus 39.4% for simple closure of the peritoneum and 30.3% for Moschcowitz-type closure
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Scott
W.
Smilen,
MDAssociate Professor, Residency Program Director, and Associate Director, Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, New York University School of Medicine, New York City
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