Abdominal Colposacropexy and Sacrospinous Ligament Suspension for Severe Uterovaginal Prolapse: A Comparison

Lo, Tsia‐Shu; Wang, Alex C.

doi:10.1089/gyn.1998.14.59

Cited by 111 publications

(76 citation statements)

References 10 publications

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“…Complications of sacrospinous fixation included blood loss, bladder injury, rectovaginal haematoma and vaginal pain, and that of sacrocolpopexy blood loss, bladder injury, incisional hernia, mesh rejection, and wound infection (11). In another study sacrospinous fixation was associated with significantly more intraoperative blood loss, longer catheterisation and hospital stay and more sexual dysfunction (12). Moreover it has a higher failure rate (13).…”

Section: Discussionmentioning

confidence: 99%

Rectus fascia colpopexy for post-hysterectomy vault prolapse: a valid option

Mahendru¹

2010

J Turkish German Gynecol Assoc

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Objective:Considering the great variety of techniques and disagreement about the ideal route, there is a need for a safe, simple and effective method for the management of apical prolapse. Material and Methods:Twenty seven cases of post-hysterectomy vault prolapse (twenty four following vaginal and three after total abdominal hysterectomy) were treated surgically by anterior abdominal wall colpopexy with autogenous rectus fascia strips.Result: Except for minor complaints like-vomiting, fever and urinary retention in 3.7% cases each (n=1), no major complications were encountered. Moreover, no recurrence, on follow-up thus far. Conclusion:Using autogenous rectus fascia strips in anterior abdominal wall colpopexy is not only a simple, cheap and effective method of treating vault prolapse but is also devoid of any serious complications such as described with other techniques. (J Turkish-German Gynecol Assoc 2010; 11: 69-72) Key words: Vault Prolapse, rectus fascia, enterocoele Received: 3 February, 2010 Accepted: 21 March, 2010 Amaç: Değişen birçok teknik ve yaygın kabul görmüş bir yöntem olmaması nedeniyle, apikal prolapsuslarda basit, güvenli ve etkin bir yöneti-me ihtiyaç vardır. Gereç ve Yöntemler: Abstract ÖzetOriginal Investigation 69

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Section: Discussionmentioning

confidence: 99%

Rectus fascia colpopexy for post-hysterectomy vault prolapse: a valid option

Mahendru¹

2010

J Turkish German Gynecol Assoc

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“…Known complications include mesh exposures and erosions, infection, and sinus tract formation [11]; however, only limited data exist on the rate of complications associated with specific mesh delivery systems. Complication rates can also be influenced by the surgeon's expertise.…”

Section: Discussionmentioning

confidence: 99%

Perioperative outcomes of the Prolift® pelvic floor repair systems following introduction to a urogynecology teaching service

et al. 2008

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The safety information of the vaginal mesh systems upon introduction to a teaching urogynecology service is limited to date. To determine the frequency of perioperative complications associated with the use of Prolift kits (Gynecare/Ethicon, Somerville, NJ, USA) by a teaching urogynecology service, data from the first 100 consecutive women were analyzed. The primary outcome was any deviation from a normal intraoperative or perioperative course. Complications were graded using the Dindo morbidity scale. Univariate analyses were performed to identify risk factors. Complications included bladder perforation (2%), blood transfusion (2%), mesh exposure (4%), and urinary tract infections (28%). Eleven percent of women reported postoperative pain, and 34% required catheterization at discharge for incomplete bladder emptying. Univariate analysis showed no association between morbidities and patient characteristics, attending experience, or fellow involvement. The integration of Prolift kits for prolapse repair into a urogynecology training program can be achieved with few perioperative complications.

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“…In two of three studies, the abdominal approach was superior to the vaginal approach for prolapse repair (15,16). The third study (17) reported that although it was not statistically significant, 17% of the patients had postoperative recurrent prolapse after vaginal procedures compared to 4% of those who had abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Complications in Abdominal Sacrocolpopexy, Sacrospinous Ligament Fixation and Prolift Procedures

Demirci¹,

Demirci²,

Dolgun³

et al. 2014

Balkan Med J

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Prolapse of pelvic organs is an important reason for gynecologic surgery. Although little is known about the pathophysiology, some reasons are speculated for the process, which are mainly relevant to pregnancy, such as macrosomic fetus, prolonged labor, instrumental delivery, and multiparity. Rectocele, enterocele, and cystocele are common co-existing situations with uterovaginal prolapse, showing that this is a complex anatomical disorder. A proper repair can only be done with correct identification and differentiation (1).The purpose of a reconstructive procedure is the correction and restoration of the prolapse with the most effective longlasting result, which allows sexual functioning and, for young patients, conservation of reproduction (2).There is a variety of operations for uterovaginal prolapse treatment. The most accepted procedures are vaginal sacrospinous ligament fixation and abdominal sacrocolpopexy/ sacrohysteropexy. Recently, vaginal meshes are being more frequently used in apical prolapse as a kit (3, 4). In abdominal sacrocolpopexy, a mesh is used to bridge and hang the cervix or upper vagina to the anterior vertebral ligament in front of the sacral bone. Vaginal sacrospinous ligament fixation was first presented to correct vaginal vault prolapses after hysterectomy (5) but then a wide application area for severe uterovaginal prolapses was found (6, 7). The meshes are commercially produced and used as sterile prolapse kits that consist of a fashioned mesh, trocars, or trocars with cannulas.The aim of our study is to compare the perioperative complications of a prolapse kit (Prolift, Gynecare/Ethicon, Somerville, NJ, USA) with pelvic floor reconstructive procedures for vaginal vault or uterovaginal prolapse, such as transvaginal sacrospinous ligament fixation and abdominal sacrocolpopexy/sacrohysteropexy. Background: Pelvic organ prolapse is an important problem for women. To overcome this issue, different operational technics are in use, such as abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure. Aims: This study assessed perioperative complications in abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure. Study Design: Retrospective comparative study. Methods: Perioperative complications were defined as any complication occurring during surgery or the first 6 weeks postoperatively. Forty-five patients underwent abdominal procedures, 60 patients underwent sacrospinous fixation, and 43 patients underwent the total Prolift procedure. Results:In the abdominal group, one bladder injury, four hemorrhages, and three wound dehiscences occurred. In the sacrospinous group, one rectal injury and one postoperative vault infection occurred. In the Prolift group, one bladder injury and one hemorrhage occurred. Minor complications were more frequent in the abdominal group than the others. The operating time and hospital stay of the abdominal group were significantly longer than the others. The Prolift procedure had less operating time and hospital stay...

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Abdominal Colposacropexy and Sacrospinous Ligament Suspension for Severe Uterovaginal Prolapse: A Comparison

Cited by 111 publications

References 10 publications

Rectus fascia colpopexy for post-hysterectomy vault prolapse: a valid option

Rectus fascia colpopexy for post-hysterectomy vault prolapse: a valid option

Perioperative outcomes of the Prolift® pelvic floor repair systems following introduction to a urogynecology teaching service

Perioperative Complications in Abdominal Sacrocolpopexy, Sacrospinous Ligament Fixation and Prolift Procedures

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