Sacrospinous suspension: a local practitioner's experience
Article Abstract:
Sacrospinous suspension appears to be a safe, effective procedure. Sacrospinous suspension surgically repairs prolapse of the uterus and vagina. Researchers reviewed the charts of 156 women who had the procedure. All had surgery by the same doctor. All the women had vaginal or uterine prolapse past the vaginal opening when bearing down. Sixteen women had postoperative urinary tract infections and 15 had urinary retention that required catheterization. All complications resolved within two weeks. Three women required blood transfusions for bleeding. Of the 150 women returning for the 6-week postoperative appointment, only one had a recurrent prolapse. Twenty-one (15%) of the 144 patients followed from 6 to 83 months have had recurrent problems. Two had successful repeat surgeries, one is planning surgery, two are being treated with pessaries, two have defects but have no symptoms, and 14 women with symptomatic prolapse have declined further treatment.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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Transvaginal sacrospinous colpopexy: anatomic landmarks to be aware of to minimize complications
Article Abstract:
Detailed knowledge of the pelvic anatomy and of the sacrospinous ligament may enable surgeons to repair collapse of the vagina with fewer complications. Researchers dissected 24 female cadavers to determine pelvic anatomy and variations in distances between pelvic structures. Cadavers with larger pelvic diameters had longer sacrospinous ligaments and greater distances from the ischial spine to the sciatic nerve. Surgeons should be aware of these variations in pelvic anatomy in performing surgical repair of vaginal vault collapse. Sutures should be placed near the middle of the sacrospinous ligament, and be made as close to the surface as possible rather than across the entire ligament. Such a surgical technique may reduce the complications of this repair.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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The efficacy of Marlex mesh in the repair of severe, recurrent vaginal prolapse of the anterior midvaginal wall
Article Abstract:
The insertion of a synthetic mesh as reinforcement appears to be a useful technique in the repair of severe, recurrent vaginal prolapse. Researchers assigned 24 women with severe, recurrent vaginal prolapse to conventional repair surgery or to the same procedure with reinforcement of the vaginal wall with a synthetic mesh. They followed the women for two years. Four women in the conventional group redeveloped vaginal wall prolapse versus none in the reinforcement group. Three women developed minor complications from the mesh. One developed a small opening, another spotting, and a third a loose fiber, which was trimmed.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1996
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