A Case of Vault Prolapse Managed by Abdominal Sacrocolpopexy

Patient Vlog

A 65-year-old woman presented with complaints of a mass descending per vagina, associated with discomfort and difficulty in daily activities. She had a prior history of hysterectomy, following which she developed vault prolapse.

On clinical examination, there was significant post-hysterectomy vaginal vault descent. After evaluation and counseling, the patient was planned for abdominal sacrocolpopexy, which remains the gold standard for apical prolapse repair.

Intraoperatively, the vaginal vault was identified and dissected. A synthetic mesh was placed and anchored to the anterior longitudinal ligament over the sacrum, providing strong apical support. The mesh was then secured to the vaginal vault, restoring normal anatomy.

The procedure was completed successfully with good anatomical correction. Postoperative recovery was uneventful, and the patient experienced significant symptomatic relief.

Take-Home Message

Abdominal sacrocolpopexy offers durable and effective repair for vault prolapse, with excellent long-term outcomes and restoration of pelvic anatomy.

Mucinous Ovarian Neoplasm with Isolated CA 19-9 Elevation

April 21, 2026

Hello everyone, Today I’m presenting an interesting case of a mucinous ovarian neoplasm with an unusual tumor marker profile. We had a 58-year-old postmenopausal female who presented with progressive abdominal distension and discomfort over a few months. There were no significant gastrointestinal symptoms such as altered bowel habits, bleeding per

Stage IB2 Cervical Carcinoma Managed with Radical Hysterectomy

March 23, 2026

A 51-year-old postmenopausal woman presented with complaints of intermittent vaginal bleeding and watery discharge for 3 months. There was no significant past medical or surgical history. On per speculum examination, the cervix appeared bulky with an irregular growth. Per vaginal examination revealed a firm cervix with restricted mobility, but no

Advanced Ovarian Cancer Managed with NACT Followed by Interval Debulking Surgery

March 20, 2026

Case Vlog A 50-year-old woman presented with features suggestive of advanced ovarian malignancy. On evaluation, she was diagnosed with high-grade serous carcinoma (HGSC) of the ovary, with a markedly elevated CA-125 level of 1200. Given the advanced disease burden, the patient was started on neoadjuvant chemotherapy (NACT). She completed planned