[Surgery of genital prolapse using the abdominal approach. Experience of the surgery and gynecology department at the Salpêtrière Hospital].

Excellent results lasting for at least 10 years were obtained in a series of 316 cases of genital prolapse operated upon through an abdominal approach in the Broca Center, Paris. Major sling-type operations, the source of multiple particularly urinary complications, have now been replaced by surgery usually involving a combination of the following: fixation to the promontory through the anterior ligament, an inter-vesicogenital Tergal triangle, a posterior perineorrhaphy, and sometimes an inter-rectovaginal triangle and/or a rectopexy. Rare septic complications resulted from opening of a viscus with subsequent spondylodiscitis requiring removal of the prosthesis. Acute intestinal obstruction is now rarely observed as a result of performing a subtotal hysterectomy, which enables effective peritonization to be conducted. The use of prosthetic material appears to provide durable anatomical results of good quality.