Outcomes following abdominal sacrocolpopexy for pelvic organ prolapse

Authors

  • Anushree Rawat Department of Obstetrics and Gynaecology, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
  • Ruchika Garg Department of Obstetrics and Gynaecology, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
  • Poonam Yadav Department of Obstetrics and Gynaecology, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20205231

Keywords:

Vault prolapse, Pelvic organ prolapse, Sacrocolpopexy, Sacrospinous fixation/suspension, Conventional needle holder

Abstract

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. Sacrocolpopexy (sacral colpopexy) is a surgical technique to repair pelvic organ prolapses. Specifically, it is intended to address apical or vaginal vault prolapse in women with lower perioperative morbidity, shorter hospital stay and allows a long-term anatomical restoration. It provides excellent apical support with lower rate of recurrence. Aim of present study was to assess the efficiency of conventional method of sacrocolpopexy and to assess the follow up complaints of patients.

Methods: This study is conducted in maternal and child health wing of Sarojini Naidu medical college from June 2019 till December 2019. Sacrospinous fixation was performed with conventional needle holder as compared to Miya hook. Data were collected from participants using a structured questionnaire. Follow up was conducted at 6 weeks and 12 weeks.

Results: In this study there were 43.3% pre menopausal patients and 53.6% menopausal patients. Maximum patients were multiparous i.e. para 2 (36.6%). Maximum patient belongs to POP Q stage 3. After 6 weeks of surgery maximum patients had pain in abdomen i.e. 3.33%, dyspareunia 8.33% and 100% success rate of sacropexy.

Conclusions: Sacrocolpopexy is a cost effective and safe procedure with high anatomical cure and patient satisfaction rate and low intra-operative and. postoperative complications as well as recurrence rates.

Author Biographies

Anushree Rawat, Department of Obstetrics and Gynaecology, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India

Senior Resident , Department of Obstetrics And Gynaeclogy

Ruchika Garg, Department of Obstetrics and Gynaecology, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India

Associate Professor , Department of Obsteterics And Gynaecology

Poonam Yadav, Department of Obstetrics and Gynaecology, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India

Associate Professor , Department of Obstetrics And Gynaecology

References

Coolen AWM, van IJsselmuiden MN, van Oudheusden AMJ, Veen J, van Eijndhoven HWF, Mol BWJ, et al. Laparoscopic sacrocolpopexy versus vaginal sacrospinous fixation for vaginal vault prolapse, a randomized controlled trial: SALTO-2 trial, study protocol. Bio Med Cent Wom Heal. 2017; 17(1):52.

Post hsterectomy vaginal vault prolapsed. Available at: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg46/. Accessed on 20 August 2020.

Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders. Am J Obstet Gynecol. 2005;193:103-8.

Fan SX, Wang FM, Lin LS, Song YF. Re-treatments of recurrence after pelvic floor repair surgery. Zhonghua Fu Chan Ke Za Zhi. 2017;52(6):374-8.

Nygaard I, McCreery R, Brubaker L. For the pelvic Floor disorders network. Abdominal Sacrocol-popexy: a comprehensive Review. Obstet Gynecol. 2004;104:805-23.

Lane FE. Repair of posthysterectomy vaginal-vault prolapse. Obstet Gynecol. 1962;20:72-7.

Grunberger W, Grunberger V, Wierrani F. Pelvic promontory fixation of the vaginal vault in sixty-two patients with prolapse after hysterectomy. J Am Coll Surg. 1994;178:69-72.

Rani S, Pandher DK, Huria A, Mehra R. Clinical outcome of abdominal sacrocolpopexy. J Midlife Health. 2015;6(4):169-72.

Higgs PL, Chua HL, Smith ARB. Long term review of laparoscopic sacrocolpopexy. Bri J Obstet Gynaecol. 2005;112:1134-8.

Downloads

Published

2020-11-26

Issue

Section

Original Research Articles