Journal of minimally invasive gynecology
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J Minim Invasive Gynecol · May 2009
Laparoscopic posthysterectomy vaginal vault excision for chronic pelvic pain and deep dyspareunia.
To evaluate the outcome of posthysterectomy laparoscopic vaginal vault excision and its long-term effects on chronic pelvic pain, dyspareunia, quality of life, and patient satisfaction. ⋯ Laparoscopic vaginal apex excision is a safe and effective management option after carefully excluding other causes of deep dyspareunia and chronic pelvic pain. It also provides an opportunity to detect and surgically excise previously undiagnosed endometriosis and other disease.