Comparison of Laparoscopic Sacrocolpopexy and Vaginal Sacrospinous Ligament Fixation Techniques Applied Concomitantly in Patients Undergoing Vaginal or Laparoscopic Hysterectomy for Uterovaginal Pelvic Prolapse
نویسندگان
چکیده
Background: The aim of this study was to investigate patients having pelvic organ prolapse (POP) stage 2 and greater who have undergone vaginal hysterectomy concomitant with sacrospinous ligament fixation (VAH + SLF) or total laparoscopic sacrocolpopexy (TLH SCP) in terms quality life, sexual function, major minor complications, cure rates. We also aimed determine which procedure is superior according the results cases TLH SCP VAH SLF were applied. Methods: A retrospective cohort conducted at a tertiary center, including 137 underwent for symptomatic uterine quantification system (POP-Q) score ≥2 (n = 90) 47) concomitantly between January 2017 May 2022. Turkish-validated Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) Prolapse Quality Life (P-QoL) asked be completed prior surgery, on 30th postoperative day, six months, one year. Results: There no statistically significant difference among groups regarding scores PISQ-12 P-QoL questionnaires. group had longer operative time (108 vs. 94 min, p 0.037). found blood loss operations, favoring (p 0.038). Postoperative 6th-hour visual analog scale values significantly higher 0.01). Two women (2.2%) recurrence within year postoperatively versus none Conclusions: same decrease subjective outcomes (PISQ-12 P-QoL), whereas lower complication rate than group. need prospective, multicenter, randomized controlled multiple long-term follow-up understand ideal form cuff suspension following hysterectomy.
منابع مشابه
Laparoscopic sacrocolpopexy versus vaginal sacrospinous fixation for vaginal vault prolapse, a randomized controlled trial: SALTO-2 trial, study protocol
BACKGROUND Hysterectomy is one of the most performed surgical procedures during lifetime. Almost 10 % of women who have had a hysterectomy because of prolapse symptoms, will visit a gynaecologist for a surgical correction of a vaginal vault prolapse thereafter. Vaginal vault prolapse can be corrected by many different surgical procedures. A Cochrane review comparing abdominal sacrocolpopexy to ...
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The result of transvaginal sacrospinous ligament fixation technique, as part of the vaginal repair procedure for massive uterovaginal (Pelvic Organ Prolapse stage III and stage IV and vault prolapse) is evaluated. A total of 32 women were included in the present case series. Marked uterovaginal prolapse was present in 28 women and four had vault prolapse following hysterectomy. Patients with va...
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BACKGROUND AND PURPOSE Laparoscopic sacrocolpopexy offers a minimally invasive approach to correcting vaginal vault prolapse. We describe our operative technique and review our experience. PATIENTS AND METHODS A retrospective study of 10 patients who underwent laparoscopic sacrocolpopexy between February 2000 and June 2002 for posthysterectomy vaginal vault prolapse was performed. Data collec...
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Hysterectomy is one of the commonest gynecological operations. The outcomes following vaginal hysterectomy have been proved to be better than those following abdominal hysterectomy. Since the availability and widespread use of laparoscopic hysterectomy, the mode of hysterectomy is an issue of debate in cases of non prolapsed uteri, amongst proponents of vaginal and laparoscopic surgery. Laparos...
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ژورنال
عنوان ژورنال: Clinical and Experimental Obstetrics & Gynecology
سال: 2023
ISSN: ['0390-6663', '2709-0094']
DOI: https://doi.org/10.31083/j.ceog5005110