McCall's culdoplasty
A surgical technique used during hysterectomy to prevent future vaginal vault prolapse by suturing the uterosacral ligaments.
Full Definition
McCall's culdoplasty is a prophylactic surgical procedure performed during vaginal or abdominal hysterectomy to prevent post-hysterectomy vaginal vault prolapse. The technique involves placing sutures through the uterosacral ligament complex and incorporating them into the vaginal cuff closure, effectively suspending the vaginal apex and obliterating the pouch of Douglas. This procedure helps maintain normal pelvic anatomy and reduces the risk of future enterocele formation. The technique was first described by Dr. Milton McCall and remains a standard component of many hysterectomy procedures.
Usage
Usage note: Named procedure that should maintain the apostrophe and capital M in McCall's.
In Context
- "A McCall's culdoplasty was performed to provide adequate vaginal vault support following the hysterectomy." — Operative report
- "The patient had no evidence of vaginal vault prolapse at six-month follow-up after McCall's culdoplasty." — Post-operative notes