Sacrospinous fixation for the prolapsed vaginal vault

Citation
U. Ozcan et al., Sacrospinous fixation for the prolapsed vaginal vault, GYNECOL OBS, 47(1), 1999, pp. 65-68
Citations number
20
Language
INGLESE
art.tipo
Article
Categorie Soggetti
da verificare
Journal title
GYNECOLOGIC AND OBSTETRIC INVESTIGATION
ISSN journal
0378-7346 → ACNP
Volume
47
Issue
1
Year of publication
1999
Pages
65 - 68
Database
ISI
SICI code
0378-7346(1999)47:1<65:SFFTPV>2.0.ZU;2-8
Abstract
In 54 patients, transvaginal sacrospinous ligament fixation procedures were reviewed retrospectively. The mean operation time was 15 (12-45)min. The m ean blood loss was 126 (110-175) cm(3). The only intraoperative complicatio n was a rectal laceration that was repaired primarily. The mean duration of follow-up was 28 (4-54) months. There were only 2 recurrent vaginal vault prolapses, There were 3 cases of cystocele (5.5%), 1 case of rectocele (1.8 %), 5 cases of enterocele (9.2%), 3 cases of stress incontinence (5.5%), an d 5 cases of dysparonia (9.2%). Sacrospinous ligament fixation can be used as an alternative treatment to vaginal hysterectomy in aged women with medi cal problems and young women suffering from genital descent with infertilit y. The procedure has the advantage of avoiding laparatomy, facilitating oth er vaginal repairs needed during the same operation, preserving vaginal fun ction and shortening the time necessary for anesthesia and surgery.