Abdominal Sacral Colpopexy in 163 Women With Posthysterectomy Vaginal Vault Prolapse and Enterocele

Timmons, Michael B.; Addison, W A; Addison, Sally B.; Cavenar, Mary G.

doi:10.1097/00006254-199209000-00015

Cited by 52 publications

(63 citation statements)

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“…Several studies have been done looking at short, medium and long term anatomical outcome of SCP and have quoted high success rates of 95% at 3 years or less 84% at 5 years and 74.7% at 13.5 years [6][7][8][9][10][11][12][13]. Studies have also shown that LSCP has high [14,15] and similar success rates to OSCP [5].…”

Section: Discussionmentioning

confidence: 99%

Sacrocolpopexy (SCP) - A Cohort Study Looking at Short, Medium and Long Term Outcome

Hawthorn¹

2013

Med Surg Urol

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In this study we evaluate the outcome, complications and need for repeat surgery after Sacrocolpopexy (SCP) over the last 10 years. 49 (66%) case notes were reviewed. 28 (57%) patients SCP. The remainder had concomitant pelvic floor and / or incontinence procedures.12 patients had laparoscopic SCP and 37 were performed by open technique. 8(16%) patients' required further surgery either for new prolapse or recurrent prolapse.The short term success with sacrocolpopexy was high (97.9%) with the rate being maintained with medium term (100%) and long term (91.66%) follow up. Rates of complication, especially mesh exposure, was very low in our study. This suggests maintaining the integrity of vaginal vault during SCP might be a key factor in reducing the incidence of mesh exposure with SCP.However large numbers in long term follow up is needed to make any definite conclusion. Sacrocolpopexy (SCP) -A cohort study looking at short, medium and long term outcome.

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Section: Discussionmentioning

confidence: 99%

Sacrocolpopexy (SCP) - A Cohort Study Looking at Short, Medium and Long Term Outcome

Hawthorn¹

2013

Med Surg Urol

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“…Timmons et al [2] performed a abdominal sacral colpopexy on 163 women for correction of vaginal vault prolapse from 1972 to 1989. The patients were followed for 9 months to 18 years, with a median follow-up of 33 months.…”

Section: Discussionmentioning

confidence: 99%

“…If non-resorbable grafts, for example GoreTex, Prolene, Mersylene or Marlex, are used the repair is successful in 85-100% of cases. [2][3][4][5]. The main drawback of these materials is the substantial risk of erosion of the mesh.…”

Section: Introductionmentioning

confidence: 99%

Organic grafts in sacral colpopexy; are they introduced prematurely? Long term results for 29 patients

Kerkhof

Geomini²,

Brölmann

2005

Gynecol Surg

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Sacral colpopexy with non-resorbable grafts is successful in 85-100% of cases. The main drawback of these materials is the substantial risk of erosion of the mesh in 0.6-8.8% of cases. With allogenic materials, for example fascia lata, dura mater, and (bovine) pericard, there is no risk of erosion. Studies in dogs indicate that the material is incorporated within 3-6 months, while inducing collagen formation-the graft is actually substituted by the recipient's own collagen. In this study solvent-dried fascia lata, dura mater, and bovine pericard were used as implants for sacral colpopexy in patients with vaginal vault prolapse. Long-term anatomical results are reported. In a retrospective observational study 29 patients with vaginal vault prolapse underwent sacral colpopexy. Patient characteristics were recorded on standardized clinical record forms. We used Tutoplast homologous fascia lata and dura mater or bovine pericard. In September 2001 all patients who had not had a second colpopexy in the meantime were invited to visit our outpatient clinic for gynecological examination. Surgical failure was defined as a second colpopexy or a vaginal vault prolapse or enterocele up to or beyond the hymen. After a mean follow up period of 38.2 months, failure based on the anatomical result occurred in 11 of 29 patients (38%); success was doubtful in another four cases (14%). For fourteen patients (48%) the sacral colpopexy was a success. Low parity and former prolapse surgery may be indicators of likely failure of the graft in sacral colpopexy. Neither surgical approach (laparotomy or laparoscopy) nor other surgical factors affected results significantly. Organic materials, for example fascia lata, dura mater, and bovine pericard, as alternatives are not suitable for sacral colpopexy because of a substantial risk of graft failure.

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“…Several studies document durable success following ASC, with recurrent prolapse ranging from 1 -7% at long term follow up. [23,24] A recent Cochrane Review of the Surgical Management of Pelvic Organ Prolapse concluded that ASC was superior to sacrospinous fixation, exhibiting a lower rate of recurrent prolapse and less postoperative dyspareunia. [25] Abdominal sacrocolpopexy, however, was associated with longer operative time, longer recovery time and higher costs.…”

Section: Abdominal Surgery For Apical Prolapsementioning

confidence: 99%

Robotic Sacrocolpopexy and Sacrocervicopexy for the Correction of Pelvic Organ Prolapse

Brien¹,

Fabrizio²,

Lukban³

2010

Robot Surgery

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Abdominal Sacral Colpopexy in 163 Women With Posthysterectomy Vaginal Vault Prolapse and Enterocele

Cited by 52 publications

References 0 publications

Sacrocolpopexy (SCP) - A Cohort Study Looking at Short, Medium and Long Term Outcome

Sacrocolpopexy (SCP) - A Cohort Study Looking at Short, Medium and Long Term Outcome

Organic grafts in sacral colpopexy; are they introduced prematurely? Long term results for 29 patients

Robotic Sacrocolpopexy and Sacrocervicopexy for the Correction of Pelvic Organ Prolapse

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