Evaluation of three different surgical approaches in repairing paravaginal support defects: a comparative trial

Hosni, Mohamed M.; El-Feky, Alaa Eldin H.; Agur, Wael; Khater, Essam

doi:10.1007/s00404-013-2927-4

Cited by 17 publications

(5 citation statements)

References 15 publications

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“…In women with advanced POP, anatomical distortion may alter US measurements as a result of paravaginal defects. A defect in the lateral suspension of the bladder could lead to an enlarged transverse diameter, and thus volume estimation using the available formulae may not be accurate enough to be used in clinical practice for these women.…”

Section: Discussionmentioning

confidence: 99%

How can we measure bladder volumes in women with advanced pelvic organ prolapse?

Cassadó

Espuña‐Pons

Díaz-Cuervo³

et al. 2015

Ultrasound in Obstet & Gyne

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Objectives To compare bladder volumes determined by three different formulae using measurements obtained from two-dimensional translabial ultrasound (2D-US), with true bladder volumes, in women with advanced pelvic organ prolapse (POP). Methods (rho, 0.818-0.849) and concordance (ICC, were found between total measured volume (volume of spontaneous bladder voiding + volume obtained from catheterization) and the volume determined by US using the three different formulae, as well as between the post-void residual volume measured by catheterization and the post-void volume calculated by US using the three formulae (rho, ICC,

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Section: Discussionmentioning

confidence: 99%

How can we measure bladder volumes in women with advanced pelvic organ prolapse?

Cassadó

Espuña‐Pons

Díaz-Cuervo³

et al. 2015

Ultrasound in Obstet & Gyne

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“…It is not possible to study every clinical outcome with a randomised trial. Multiple, independent cohort studies may be '' good enough'' to justify adding/omitting the new surgery to/from our armamentarium [27].…”

Section: Discussionmentioning

confidence: 99%

The Art of Kielland rotational forceps delivery – do we need more training or should we abandon it? That is the question: a retrospective observational study

Hosni,

Imessaoudene,

Gabr

et al. 2024

Ital J Gynaecol Obstet

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Objective. There has been a wide variation in obstetric practice in the management of women at full cervical dilatation with malposition of foetal head, with many obstetricians preferring delivery by caesarean section over instrumental vaginal delivery. This could be attributed to the scarcity of published data about the safety and feasibility of Kielland's forceps as method of rotational operative vaginal delivery. This was a retrospective study from population-based registry that aimed to assess the potential benefits and harms imposed by Kielland's forceps in comparison to other methods used to assist mid-cavity rotational vaginal delivery, manual rotation and rotational vacuum extraction.Patients and Methods. Seventy-two women, underwent rotational Kielland's forceps vaginal delivery in comparison to Sixty-nine women who had other rotational delivery: 42 rotational ventouse and 27 manual rotations, from October 2015 to October 2019 in the United Kingdom.Results. The results showed 36.2% of the women had maternal complications. However, neither Kielland's forceps nor rotational ventouse exerted any significant effect on developing maternal complications compared to manual rotation (P=0.207 and 0.103 for Kielland's forceps and rotational ventouse respectively) with only one case of perinatal death in Kielland's forceps group. There were no maternal deaths, no thromboembolic events, and no laparotomies or hysterectomies in any of the three groups.Conclusions.Kielland's forceps will remain a safe tool for rotation operative vaginal delivery. However, acknowledging and accepting the associating risks and complications, and obtaining an informed consent from pregnant women is essential before embarking on such procedure.

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“…Repair of PVD is particularly important in preventing postoperative recurrence of anterior vaginal wall prolapse, as they account for 60%-80% of cases. 22 Additionally, folding the levator ani muscle through several Ushaped sutures between longitudinal incisions increases the support of the posterior vaginal wall at the second level. Mikos et al 14 found that simultaneous folding of the levator ani muscle at the time of closure was effective in preventing postoperative recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…Second, we used longitudinal sutures to close the anterior and posterior vaginal walls, which increases the repair of PVD. Repair of PVD is particularly important in preventing postoperative recurrence of anterior vaginal wall prolapse, as they account for 60%–80% of cases 22 . Additionally, folding the levator ani muscle through several U‐shaped sutures between longitudinal incisions increases the support of the posterior vaginal wall at the second level.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of a novel modified total colpocleisis for advanced pelvic organ prolapse in elderly women and its efficacy on lower urinary tract symptoms

Wang,

Lin,

et al. 2023

Intl J Gynecology & Obste

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ObjectivesTo evaluate the effectiveness of modified total colpocleisis for advanced pelvic organ prolapse (POP) in elderly women and to assess the improvement in lower urinary tract symptoms (LUTS) of the patients.MethodsAn observational cohort study was conducted, including 105 POP patients who underwent modified total colpocleisis between April 2020 and December 2022. The study analyzed the patients' demographic characteristics, perioperative outcomes, and follow‐up outcomes, including complications, remission of LUTS, satisfaction rates, and regret rates. Confirming the safety, durability, and patient satisfaction of modified total colpocleisis.ResultsMost patients (95/105, 90.5%) had more than one comorbidity. Eighty‐six (81.9%) had a concomitant hysterectomy, the average operative time was 112.78 ± 34.92 min, with a median estimated bleeding of 50 mL (10–300 mL). Perioperative changes in hemoglobin and hematocrit were 11.64 ± 10.03 g/L and 3.87% ± 3.05%, respectively. Urinary retention was the most common complication (10/105, 9.5%). With a median follow up of 16 months (3–35 months), 101 patients (96.2%) reported satisfaction with the results of the procedure, with none reporting regret. Both subjective and anatomical recurrence rates were quite low (2.9% and 5.7%, respectively). Twenty‐three (21.9%) had de novo urinary incontinence, and the remaining LUTS such as frequent, urgent, hesitation, and difficulty emptying were significantly improved (P < 0.05).ConclusionModified total colpocleisis is an effective treatment option for elderly women with severe POP. This procedure can significantly improve several LUTS, and most de novo incontinence is mild and has a limited impact on patients' quality of life.

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Evaluation of three different surgical approaches in repairing paravaginal support defects: a comparative trial

Cited by 17 publications

References 15 publications

How can we measure bladder volumes in women with advanced pelvic organ prolapse?

How can we measure bladder volumes in women with advanced pelvic organ prolapse?

The Art of Kielland rotational forceps delivery – do we need more training or should we abandon it? That is the question: a retrospective observational study

Outcomes of a novel modified total colpocleisis for advanced pelvic organ prolapse in elderly women and its efficacy on lower urinary tract symptoms

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