Clinical Effect of Uterosacral and Cardinal Ligament Fixation versus Sacrospinous Ligament Fixation of Vaginal Vault Prolapse: A Retrospective Analysis

Huang, Like; Guo, Min; Sha, Li-xiao; Chen, Cong; Lin, Xiaohua; Dong, Xiao-Xia

doi:10.1155/2023/1489928

Cited by 3 publications

(1 citation statement)

References 30 publications

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“…[ 21 ] An approach with a minimal invasive route, avoidance of the use of mesh, which addresses other defects also, with better intraoperative and postoperative outcomes, focusing on improved quality of life needs to be considered. [ 22 ]…”

Section: Discussionmentioning

confidence: 99%

Surgical Outcomes and Feasibility of Transvaginal Sacrospinous Ligament Fixation through Anterior Approach for Women with Pelvic Organ Prolapse

Agrawal,

Kumari,

Sharma

et al. 2023

Journal of Mid-Life Health

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Introduction: Supporting vaginal vault or apex is a central component of primary therapy and to prevent recurrence of prolapse. This study aims to review the surgical outcomes and feasibility of the anterior approach following both sacrospinous fixation (SSF) and sacrospinous hysteropexy (SSHP) in a single center over a specific period. And also to review its impact on quality of life. Materials and Methods: This was a retrospective study that included all women who underwent unilateral SSF or SSHP through anterior approach for pelvic organ prolapse (POP) from May 2021 to May 2023 after institutional ethical approval for the study. The anterior approach was undertaken in 47 patients which were included in final review. A retrospective case note review to assess urinary symptoms was undertaken at baseline and 3 months by urinary distress inventory 6 score. The main outcome measure was recurrence of prolapse, predominant compartment for prolapse, presenting complaints, concomitant surgeries performed, and associated urinary complaints. Results: The mean age was 56.17 ± 11.95 years and the average body mass index was 26.12 ± 3.11 kg/m2. Except for 4 cases of SSHP, remaining women were postmenopausal at the time of surgery. Ten women presented with urinary complaints as their chief complaint. On examination, POP Quantification evaluation, 35 cases have Ba as leading point, 10 have Ap as their leading point and in two cases C was the leading point. Conclusion: Anterior unilateral sacrospinous ligament fixation is a safe, effective strategy to treat POP and other concomitant surgery can also be well combined with it.

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Section: Discussionmentioning

confidence: 99%

Surgical Outcomes and Feasibility of Transvaginal Sacrospinous Ligament Fixation through Anterior Approach for Women with Pelvic Organ Prolapse

Agrawal,

Kumari,

Sharma

et al. 2023

Journal of Mid-Life Health

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New Advances in the Diagnosis and Treatment of Pelvic Floor Dysfunction

祖

2024

ACM

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Comparison of classical and anchorage methods in sacrospinous ligament fixation

Adan,

Şahin

2024

Anatolian Current Medical Journal

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Aims: Pelvic organ prolapse (POP) is a common condition that affects the quality of life in women. As a natural consequence of the aging population, it is believed that POP will increase in the next 40 years. With the increase in life expectancy, there is an expected rise in reconstructive surgical procedures to correct pelvic floor disorders. POP can occur in three vaginal compartments: anterior, apical, and posterior. The apical compartment includes uterine prolapse, cervix, or vaginal cuff prolapse. Our primary objective was to compare the surgical outcomes of the method using the classic technique with pelvic floor anchorage (anchoring). Methods: This retrospective cohort study consisted of women with POP-Q (Pelvic Organ Prolapse Quarejment) grade 2 and above in the apical compartment. In the sample size calculation, G power analysis was performed with α: 0.05 and 80% accuracy. Forty-eight women were included in the study, with 24 of them undergoing the classic method and the other 24 receiving sacrospinous ligament fixation (SSLF) using a pelvic floor anchoring device. The results of both surgical methods were compared in terms of anatomical recurrence. Results: There was no statistically significant difference observed between the postoperative measurements of the C points. However, the difference in the C level between preoperative and postoperative measurements for patients who underwent the classic SSLF operation was statistically significantly higher compared to those who underwent the Anchorage SSLF procedure. Conclusion: When comparing the classic and anchoring systems for the SSLF procedure, no difference was observed in terms of recurrence. However, the classic method was found to be more successful in restoring apical prolapse.

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Clinical Effect of Uterosacral and Cardinal Ligament Fixation versus Sacrospinous Ligament Fixation of Vaginal Vault Prolapse: A Retrospective Analysis

Cited by 3 publications

References 30 publications

Surgical Outcomes and Feasibility of Transvaginal Sacrospinous Ligament Fixation through Anterior Approach for Women with Pelvic Organ Prolapse

Surgical Outcomes and Feasibility of Transvaginal Sacrospinous Ligament Fixation through Anterior Approach for Women with Pelvic Organ Prolapse

New Advances in the Diagnosis and Treatment of Pelvic Floor Dysfunction

Comparison of classical and anchorage methods in sacrospinous ligament fixation

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