Outcomes of transvaginal uterosacral ligament suspension: systematic review and metaanalysis

Incidence of adverse events after uterosacral colpopexy for uterovaginal and posthysterectomy vault prolapse

“…We also found that our composite recurrent POP rate was similar to the rates reported in the literature. 6 As surgeons, we strive to reduce morbidity while achieving excellent surgical efficacy; therefore, the topic of perioperative and postoperative outcomes remains an important one. A MEDLINE search from 1998 through 2013 using search terms "uterosacral ligament suspension," "uterosacral colpopexy," and "vaginal vault suspension" confirm that this is the largest series to date looking at outcomes after uterosacral ligament suspension, and our findings augment the current published data and fill in knowledge gaps regarding postoperative events that are less often studied.…”

“…During this procedure, sutures are placed through the uterosacral ligaments, at or above the ischial spines and then anchored to the vaginal apex. 5 In 2010, Margulies et al 6 published a systematic review that found that uterosacral colpopexy anatomic success rates were favorable: 81.2%, 98.3%, and 87.4% for the anterior, apical, and posterior compartments, respectively. The recently published OPTIMAL trial reported that there were no significant differences in outcomes 2 years after transvaginal uterosacral colpopexy compared to sacrospinous ligament colpopexy.…”

“…The recently published OPTIMAL trial reported that there were no significant differences in outcomes 2 years after transvaginal uterosacral colpopexy compared to sacrospinous ligament colpopexy. 7 While there are a number of studies reporting on subjective and objective efficacy after uterosacral colpopexy, 6,[8][9][10] there are few large studies that specifically address the perioperative and postoperative adverse events of this procedure. Therefore, the primary objective of this study was to describe perioperative and postoperative adverse events associated with uterosacral colpopexy in a large cohort of women undergoing this procedure at a tertiary care center.…”

Vaginal vault reconstruction and apical sling in the treatment of post-hysterectomy prolapsE

“…Наиболее распространенными и изученными являются: сакрокольпопексия (открытым и лапароскопическим доступом), крестцово-остистая фиксация, кульдопла-стика по Mccall. Данные подходы имеют ряд ограничений, таких как длительность опе-рации или высокая стоимость (лапароско-пическая/роботическая сакрокольпопексия), а также нередко сопровождаются серьезными интраоперационными (массивная кровопоте-ря, требующая переливания компонентов кро-ви) и послеоперационными (высокая частота эрозий стенок влагалища, нарушения дефека-ции, послеоперационный илеус, обструкция мочеточников, диспареуния) осложнениями [11][12][13][14][15]16]. Люмбосакральный спондилодис-цит является одним из специфических ослож-нений сакрокольпопексии.…”

Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

“…A systematic review of transvaginal high fixation of the vaginal vault to the uterosacral ligaments showed a cumulative apical success rate of 98 % (95 % CI: 95.7-100), an anterior success rate of 81% (95% CI: 67.5-94.9) and a posterior success rate of 87 % (95 % CI: 80-94.9) [109]. Retrospective studies of laparoscopic fixation of the vaginal vault to the uterosacral ligaments after concomitant hysterectomy reported an apical failure rate of 11-13 % [110,111].…”