Transabdominal sacrocolpopexy for transverse defect repair

In patients with a prior hysterectomy without identifiable uterosacral ligaments, abdominal sacrocolpopexy can be used to resuspend the vagina. Each arm of the Y-shaped permanent mesh graft is attached to the muscularis of the anterior and posterior vagina. The base of the mesh graft is then attached to the periosteum of the sacrum, thereby suspending both the anterior and posterior vaginal walls, as well as the vaginal apex.