Perioperative complications and long term consequences of sacrospinous ligament fixation and abdominal sacrocolpopexy
Abstract
Objective: This retrospective
study was done for comparison of early complications and long term consequences
sacrospinous fixation (SSF) and abdominal sacrocolpopexy.
Method: This sutdy was performed
retrospectively from july 2015 to september 2017. Fifty four women were
included the study. Forty women underwent vaginal sacrospinous fixation
following vaginal hysterectomy for total prolapse and vaginal vault repair. Fourteen
women underwent abdominal sacrocolpopexy procedure for preventing vaginal vault
prolapsus. Perioperative complications were defined as any complication occurs during
surgery or at the first 6 weeks postoperatively.
Results: All patients were followed up for 6 weeks, 3, 6. and
12th months postoperatively. Intraoperative presacral venous bleeding
during the abdominal sacrocolpopexy were detected in two subjects. They were
treated with applying pressure with gauze pad about 10 minutes. Vesical injury
occured in one subject during the vaginal hysterectomy which was repaired easily
via vaginally. The mean duration of follow-up was 12 months. Recurrent vaginal vault
prolapses and cystocele in two cases, rectosel in one case and stress incontinence
in two cases were detected following SFF.
Conclusions: SSF can be used as an adjunctive and easy procedure
after vaginal hysterectomy in pelvic organ prolapse. The advantage of the operation
is avoiding of the laparatomy and preserve the functionality of the vagina.
Abdominal sacrocolpopexy was associated with a higher succes of operative result.
Keywords
abdominal sacrocolpopexy : Pelvic organ prolapse sacrospinous fixation vaginal vault prolapse
References
- 1. Chou LY, Chang DY , Sheu BC, et al. Clinical outcome of transvaginal sacrospinous fixation with theVeronik is ligature carrier in genitalprolapse. Eur J ObstetGynecolReprodBiol. 2010;152(1):108-110.
- 2. Demirci F, Özdemir I, Somunkıran A, et al. Perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures. IntUrogynecol J. 2007; 18: 257-261.
- 3. Uzoma A, Farag KA. Vaginalvaultprolapse. ObstetGynecolInt. 2009; 275621. Epub2009 Aug 11.
- 4. Beer M, Kuhn A. Surgical techniquies for vault prolapse: a review of the literatüre. Eur J Obstet Gynecol Reprod Biol. 2005;119(2):144-155.
- 5. BumpRc, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic flor dysfunction. Am J ObstetGynecol 1996; 175:10-17
- 6. PengP,Zhu L, Lang JH, et al. Unilateral sacrospinous ligament fixation for treatment of genital prolapse. ChinMed J (engl). 2010;123(15):1995-1998.
- 7. Maloney JC, DuntonCJ, Smith K. Repair of vaginal vault prolapse with abdominal sacropexy. J ReprodMed 1990; 35: 6-10.
Abstract
References
- 1. Chou LY, Chang DY , Sheu BC, et al. Clinical outcome of transvaginal sacrospinous fixation with theVeronik is ligature carrier in genitalprolapse. Eur J ObstetGynecolReprodBiol. 2010;152(1):108-110.
- 2. Demirci F, Özdemir I, Somunkıran A, et al. Perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures. IntUrogynecol J. 2007; 18: 257-261.
- 3. Uzoma A, Farag KA. Vaginalvaultprolapse. ObstetGynecolInt. 2009; 275621. Epub2009 Aug 11.
- 4. Beer M, Kuhn A. Surgical techniquies for vault prolapse: a review of the literatüre. Eur J Obstet Gynecol Reprod Biol. 2005;119(2):144-155.
- 5. BumpRc, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic flor dysfunction. Am J ObstetGynecol 1996; 175:10-17
- 6. PengP,Zhu L, Lang JH, et al. Unilateral sacrospinous ligament fixation for treatment of genital prolapse. ChinMed J (engl). 2010;123(15):1995-1998.
- 7. Maloney JC, DuntonCJ, Smith K. Repair of vaginal vault prolapse with abdominal sacropexy. J ReprodMed 1990; 35: 6-10.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Surgical Science Research Articles |
| Authors | |
| Publication Date | December 31, 2019 |
| Acceptance Date | December 31, 2019 |
| Published in Issue | Year 2019Volume: 41 Issue: 4 |