Sacro-spinous ligament fixation peri-operative complications in 195 cases: visual approach versus digital approach of the sacro-spinous ligament

David-Montefiore, Emmanuel; Garbin, O.; Hummel, Michel; Nisand, I.

doi:10.1016/j.ejogrb.2003.12.020

Cited by 37 publications

(27 citation statements)

References 21 publications

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“…Vascular injuries observed in the study by David-Montefiore, Garbino, Hummelm etal was 0.5-1%. [3] One of Nichols's patient had rectal injury. [4] There was no other significant intraoperative complication.…”

Section: Discussionmentioning

confidence: 99%

Study of Sacrospinous Fixation for Posthysterectomy Vault Prolapse

Bhat¹,

Kulkarni²,

Bhave³

2014

jemds

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OBJECTIVE:To study the effectiveness of sacrospinous fixation for vault suspension in vault prolapse cases and to evaluate intra and post-operative complications associated with the procedure. METHODS: Twenty patients with vault prolapse were subjected to sacrospinous fixation and evaluated for postoperative complications. RESULTS: The intraoperative complication encountered was vascular injury. Postoperative complications were fever and urinary tract infection. In all patients vaginal length from hymen to vault was 4cm to 5cm. Recurrence was not noted in the follow up period of 6 months. CONCLUSION: Sacrospinous fixation is a safe, effective, and simple procedure in patients with post hysterectomy vault prolapse.

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Section: Discussionmentioning

confidence: 99%

Study of Sacrospinous Fixation for Posthysterectomy Vault Prolapse

Bhat¹,

Kulkarni²,

Bhave³

2014

jemds

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“…Araco et al 4 chose to perform CT angiography embolization for postoperative bleeding from a branch of the hypogastric artery. DavidMontefiore et al 5 conducted laparotomy, drainage of the hematoma and injured vessel repair for a postoperative presacral and pararectal vessel injury. Muffly et al 6 performed CT angiography embolization resulting from a postoperative inferior vesical artery injury.…”

Section: Discussionmentioning

confidence: 99%

A late-onset hematoma developed after sexual intercourse following sacrospinous hysteropexy and mid-urethral sling surgery: case report

Doğan

Pulatoğlu

Başbuğ

et al. 2017

Proc Obstet Gynecol

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“…In a David-Montefiore et al (14) review, 16 studies on sacrospinous ligament fixation, each including more than 50 patients (a total of 2292 cases), were evaluated. The rates of urinary infection (10% to 14.7%) and rectal injury (1.7% to 0.4%) of our study were similar to their review.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Complications in Abdominal Sacrocolpopexy, Sacrospinous Ligament Fixation and Prolift Procedures

Demirci¹,

Demirci²,

Dolgun³

et al. 2014

Balkan Med J

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Prolapse of pelvic organs is an important reason for gynecologic surgery. Although little is known about the pathophysiology, some reasons are speculated for the process, which are mainly relevant to pregnancy, such as macrosomic fetus, prolonged labor, instrumental delivery, and multiparity. Rectocele, enterocele, and cystocele are common co-existing situations with uterovaginal prolapse, showing that this is a complex anatomical disorder. A proper repair can only be done with correct identification and differentiation (1).The purpose of a reconstructive procedure is the correction and restoration of the prolapse with the most effective longlasting result, which allows sexual functioning and, for young patients, conservation of reproduction (2).There is a variety of operations for uterovaginal prolapse treatment. The most accepted procedures are vaginal sacrospinous ligament fixation and abdominal sacrocolpopexy/ sacrohysteropexy. Recently, vaginal meshes are being more frequently used in apical prolapse as a kit (3, 4). In abdominal sacrocolpopexy, a mesh is used to bridge and hang the cervix or upper vagina to the anterior vertebral ligament in front of the sacral bone. Vaginal sacrospinous ligament fixation was first presented to correct vaginal vault prolapses after hysterectomy (5) but then a wide application area for severe uterovaginal prolapses was found (6, 7). The meshes are commercially produced and used as sterile prolapse kits that consist of a fashioned mesh, trocars, or trocars with cannulas.The aim of our study is to compare the perioperative complications of a prolapse kit (Prolift, Gynecare/Ethicon, Somerville, NJ, USA) with pelvic floor reconstructive procedures for vaginal vault or uterovaginal prolapse, such as transvaginal sacrospinous ligament fixation and abdominal sacrocolpopexy/sacrohysteropexy. Background: Pelvic organ prolapse is an important problem for women. To overcome this issue, different operational technics are in use, such as abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure. Aims: This study assessed perioperative complications in abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure. Study Design: Retrospective comparative study. Methods: Perioperative complications were defined as any complication occurring during surgery or the first 6 weeks postoperatively. Forty-five patients underwent abdominal procedures, 60 patients underwent sacrospinous fixation, and 43 patients underwent the total Prolift procedure. Results:In the abdominal group, one bladder injury, four hemorrhages, and three wound dehiscences occurred. In the sacrospinous group, one rectal injury and one postoperative vault infection occurred. In the Prolift group, one bladder injury and one hemorrhage occurred. Minor complications were more frequent in the abdominal group than the others. The operating time and hospital stay of the abdominal group were significantly longer than the others. The Prolift procedure had less operating time and hospital stay...

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Sacro-spinous ligament fixation peri-operative complications in 195 cases: visual approach versus digital approach of the sacro-spinous ligament

Cited by 37 publications

References 21 publications

Study of Sacrospinous Fixation for Posthysterectomy Vault Prolapse

Study of Sacrospinous Fixation for Posthysterectomy Vault Prolapse

A late-onset hematoma developed after sexual intercourse following sacrospinous hysteropexy and mid-urethral sling surgery: case report

Perioperative Complications in Abdominal Sacrocolpopexy, Sacrospinous Ligament Fixation and Prolift Procedures

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