Vaginal Wall Repair – Using Amniotic Membrane Graft

The majority of the anterior vaginal wall prolapse results from paravaginal defects 70% (lateral detachments from the ATFP) mostly unilateral, on the right side, and at the level of the ischial spines; rather than midline defect. This new understanding of site specific vaginal defects has lead to changes in surgical techniques, to include, abdominal, laparoscopic, and vaginal repairs. Abdominal paravaginal repair requires a more invasive approach and a longer postoperative recovery, while laparoscopic approaches are technically more difficult and challenging. Repair of vaginal wall prolapse by the vaginal route is usually simpler, and easier.