Laparoscopic Sacral Uteropexy with Cravat Technique--Experience and Results

Apı, Murat; Kayatas, Semra; Boza, Ayşen; Nazık, Hakan; Aytan, Hakan

doi:10.1590/s1677-5538.ibju.2014.04.12

Cited by 4 publications

(4 citation statements)

References 23 publications

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“…At 6 weeks post-operative follow up, 96.7% of our patients were satisfied with the surgery. This is consistent with 96.9% satisfaction rate reported by Api M 11. We judged patients satisfaction on clinical basis i.e correction of prolapse, severe pain, backache or severe post operative complications.…”

Section: Discussionsupporting

confidence: 89%

“…It is not being favored nowadays due to its association with subfertility and obstetric complications. Transvaginal sacropinous fixation is another option, but due to close proximity of sciatic nerve and pudendal vessels and nerve to sacroscopious ligament, this surgery may lead to significant buttock and leg pain and haemorrhage 11. Ventrosuspion is technically simple but high recurrence rate of prolapse refute its practical application.…”

Section: Discussionmentioning

confidence: 99%

“…Price N8 did not report any case of erosion, infection or rejection of mesh in their series, nor did we encounter this complication in our patients. Api M performed this surgery laparoscopically using a different ‘Cravat’ technique 11. Robotic SHP has also been reported to provide results comparable to abdominal SHP 19…”

Section: Discussionmentioning

confidence: 99%

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Sacrohysteropexy performed as uterus conserving surgeryfor pelvic organ prolapse: Review of case files

Khan¹,

Jaleel²,

Nasrullah³

2016

Pak J Med Sci

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Objective:To assess the outcome and safety of sacrohysteropexy as uterus conserving surgery for pelvic organ prolapse in young women and to assess patients’ satisfaction with the procedure.Methods:This is a case series of patients operated at Sind Government Lyari General Hospital and Civil Hospital Karachi, between January, 2007 to October, 2015. Data of the patients who had sacrohysteropexy were reviewed. Complications during surgery and post-operative period including haemorrhage, visceral injury, paralytic ileus and peritonitis were studied. Success of procedure, need of blood transfusion, hospital stay and condition on discharge and six weeks follow-up were noted. Data were analyzed using SPSS version 16. Mean ± SD was calculated for numerical, while frequencies were computed for categorical variables.Results:Data of 60 patients were reviewed. Early post-operative success was 100%. Duration of surgery was less than two hours in 57 (95%) patients. Blood loss was negligible in majority of cases. Out of all 60 cases, 52 (86.7%) did not suffer any complication. One patient had ureteric injury, while one patient sustained bowel injury. Two patients had paralytic ileus. Four patients suffered from abdominal wound infection. All patients were managed satisfactorily. Mean duration of stay in hospital was four days. Upon follow up 96.7% patients were satisfied with results of operative procedure. Sixteen (26.7%) patients complained of backache on follow-up visit.Conclusion:This review concludes that sacrohysteropexy was successful in all cases in early post-operative period. It is a safe procedure and should be considered as an option for the treatment of pelvic organ prolapse in young women, in whom uterine conservation is required.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sacrohysteropexy performed as uterus conserving surgeryfor pelvic organ prolapse: Review of case files

Khan¹,

Jaleel²,

Nasrullah³

2016

Pak J Med Sci

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“…5 Transvaginal sacropinous fixation is another option, but due to close proximity of sciatic nerve and pudendal vessels and nerve to sacroscopious ligament, this surgery may lead to significant buttock and leg pain and haemorrhage. 6 Ventrosuspion is technically simple but high recurrence rate of prolapse refute its practical application. A study reported that eight women out of 9 who underwent ventrosuspension had recurrence within three months.…”

Section: Discussionmentioning

confidence: 99%

An unusual case of massive vaginal eversion complicated by obstructive uropathy

Sanyal¹,

Hiremath²,

Ghosh³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Pelvic organ prolapse is the descent of the pelvic organs (uterus or bladder or rectum) from their normal anatomical position, in varying combination, into or beyond the vagina as a result of failure of the ligamentous and fascial supports. Sometimes the resulting vaginal eversion or protrusion is so massive it may cause outflow obstruction of one or both ureters. Here authors present a case of a 62 year postmenopausal woman having massive vaginal eversion leading to obstructive uropathy and chronic renal insufficiency. The prolapse was corrected by Sacrohysteropexy.

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