scholarly journals Transvaginal rectocele repair with human dermal allograft interposition and bilateral sacrospinous fixation with a minimum eight-year follow-up

BMC Urology ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Serge P. Marinkovic ◽  
Scott Hughes ◽  
Donghua Xie ◽  
Lisa M. Gillen ◽  
Christina M. Marinkovic
Keyword(s):  
Sacrospinous Fixation ◽  
Rectocele Repair

scholarly journals Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Salvatore Giovanni Vitale ◽  
Antonio Simone Laganà ◽  
Marco Noventa ◽  
Pierluigi Giampaolino ◽  
Brunella Zizolfi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Sacrospinous Fixation ◽  
Sf 36

Objective. Our aim was to study the efficacy of transvaginal bilateral sacrospinous fixation (TBSF) and its impact on quality of life (QoL) and sexual functions in women affected by second recurrences of vaginal vault prolapse (VVP). Materials and Methods. We performed a prospective observational study on 20 sexually active patients affected by second recurrence of VVP, previously treated with monolateral sacrospinous fixation. TBSF was performed in all the patients. They had been evaluated before the surgery and at 12-month follow-up through pelvic organ prolapse quantification (POP-Q) system, Short Form-36 (SF-36), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results. At 12-month follow-up, 18 out of 20 (90%) patients were cured of their recurrent VVP. No major intra- and postoperative complications occurred. We found a significant improvement in 4/5 POP-Q landmarks (excluding total vaginal length), SF-36, and PISQ-12 scores. Conclusion. According to our data analysis, TBSF appears to be safe, effective, and able to improve both QoL and sexual functions in patients affected by second recurrence of VVP after previous monolateral sacrospinous fixation.

scholarly journals Outcome of Sacrospinous Ligament Fixation of the Vault during Repair of Pelvic Organ Prolapse

2018 ◽  
Vol 16 (3) ◽  
pp. 321-324 ◽  
Author(s):  
Ganesh Dangal ◽  
Rekha Poudel ◽  
Ranjana Shrestha ◽  
Aruna Karki ◽  
Hema Kumari Pradhan ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Hospital Stay ◽  
Pelvic Organ ◽  
Sacrospinous Ligament ◽  
Vault Prolapse ◽  
Buttock Pain ◽  
Sacrospinous Fixation ◽  
Sacrospinous Ligament Fixation ◽  
Operative Complications

Background: Pelvic organ prolapse includes descent of anterior/ posterior wall and apical (vault) prolapse with significant morbidity. In this study we evaluated the outcome of sacrospinous ligament fixation of vault through vaginal approach as part of the repair for massive uterovaginal (pelvic organ prolapse stage III and stage IV) and vault prolapse. Methods: This study on sacrospinous ligament fixation along with repair for pelvic organ prolapse at Kathmandu Model Hospital from November 2016 to April 2018 was done to assess the outcome in terms of early (during hospital stay) and delayed (six months) post-operative complications, need of removal of sacrospinous fixation suture and recurrence of prolapse. Results: Out of 95 pelvic organ prolapse patients, 80 (84%) were post-menopausal, 28 (29.4%) were in the age group of 70-79 years.  There were 61 (64%) POPQ stage III. The post-operative complications during post-operative hospital stay were pain over right buttock in 42 (44%), urinary retention in 7 (7%) and UTI in 7 (7%). Sacrospinous suture was released in two patients for severe pain over right buttock.  At one-week follow-up, 35 (36%) had right buttock pain of moderate severity and 8 (8%) had vaginal cuff infection. Sacrospinous suture was removed in one patient for neuropraxia two weeks following surgery. At four weeks follow-up, 25 (26%) patients had mild right buttock pain relieved by oral NSAIDs on need. At six months follow-up, five had occasional buttock pain, six had some recurrences and two had some vault prolapse and one each had short vagina and stress incontinence. Conclusions: Sacrospinous   ligament   fixation   is   a   good   procedure   for   the management of pelvic organ prolapse with better long-term outcome if performed with good surgical expertise. Keywords:  Prolapse; repair; sacrospinous fixation; vaginal hysterectomy. 

scholarly journals Functional outcomes and quality of life in patients after rectocele repair

2014 ◽  
Vol 61 (2) ◽  
pp. 77-81
Author(s):  
Yury Shelygin ◽  
Alexandr Titov ◽  
Oleg Biryukov ◽  
Andrey Mudrov ◽  
Larisa Orlova ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Outcomes ◽  
Circular Stapler ◽  
Long Term Outcome ◽  
Rectocele Repair ◽  
Surgical Methods ◽  
Evacuatory Function

Background: Rectocele is a herniation of rectal wall that can cause evacuatory disorders. Despite the variety of surgical methods for rectocele repair the procedure does not always alleviate symptoms. Aim of study: To evaluate the long-term outcome and quality of life after rectocele repair. Materials and Methods: From 2007 to 2011 forty one women were underwent surgery for symptomatic rectocele. The patients age ranged from 24 to 64 (48,95?9,09) years old. Reinforcement of rectovaginal septum with mesh implant was performed in 22 (53.7%) patients and transanal repair by circular stapler (STARR)-19 (46.3%). Median follow-up time was 36 moths (6-60). Results: Most of patients - 29 (70,7%) reported about improvement of rectal evacuatory function after surgery. Another 12 (29,3%) women did not experience of symptomatic improvement and even experienced a deterioration of the symptoms. Quality of life was correlated with surgical outcomes. The results of surgery didn?t depend of procedure. The factors influenced on functional outcomes were revealed: age of patients, duration of constipations and number of parity. Substantial improvement of the rectal evacuatory function which was registered in patients at one year after surgery over time turned to the worse and 43,9% of patients pointed the recurrence of symptoms. Conclusion: Long term follow-up show a decrease of success rate to 43,9% of patient treated.

Sacrospinous Ligament Fixation in Patients with Second-degree Uterine Prolapse

2017 ◽  
Vol 9 (3) ◽  
pp. 235-238
Author(s):  
Helmy A Rady
Keyword(s):  
Postoperative Pain ◽  
Uterine Prolapse ◽  
Simple Procedure ◽  
Sacrospinous Ligament ◽  
Sacrospinous Fixation ◽  
Sacrospinous Ligament Fixation ◽  
Group I ◽  
Better Than ◽  
Second Degree

ABSTRACT Background Sacrospinous ligament fixation is a simple procedure we use today to treat cases with uterine prolapse. Aim The aim is to test the effectiveness of this procedure in the treatment of second-degree uterine prolapse. Materials and methods The study included 50 women with second-degree uterine prolapse. Out of 50 women, 25 (group I) were treated with bilateral sacrospinous ligament fixation, while the other 25 (group II) were treated with unilateral sacrospinous ligament fixation. The efficacy and intraoperative and postoperative complications are recorded (follow-up of patients occurred 3 and 6 months postoperatively). Results Mean operative time in unilateral sacrospinous fixation is 52 ± 10.6 minutes, while in bilateral procedure, it is 73 ± 12.6 minutes. However, postoperative pain is more in bilateral than unilateral procedure. Conclusion Sacrospinous ligament fixation is an effective treatment for patients having second-degree uterine prolapse. Unilateral is better than bilateral sacrospinous operation regarding postoperative pain. How to cite this article Rady HA. Sacrospinous Ligament Fixation in Patients with Second-degree Uterine Prolapse. J South Asian Feder Obst Gynae 2017;9(3):235-238.

scholarly journals Clinical outcome of sacrospinous fixation following pelvic organ prolapse surgery

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Sandesh Poudel ◽  
Ganesh Dangal
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Maternity Hospital ◽  
Prolapse Surgery ◽  
Cross Sectional ◽  
Sacrospinous Fixation ◽  
Midterm Outcome ◽  
Pelvic Organ Prolapse Surgery ◽  
Gluteal Pain

Aims: To evaluate the midterm outcome of sacrospinous fixation done during surgical management of pelvic organ prolapse. Methods: This was an interview based cross sectional follow up study done among the patients who underwent sacrospinous fixation procedure along with pelvic organ prolapse surgery in Kathmandu Model Hospital and Paropakar Maternity Hospital. This was conducted between 15 th February 2021 and 15 th April 2021. Post-operative cases 22 to 30 months (average 2 years) from the day of surgery were included. Results: Out of 321 eligible SSF patients from both the hospital, 156 agreed to participate. Among them, 77 (48%) were in 60-69 years of age and 82% were postmenopausal; 33% were more than para 3; 20% had right gluteal pain that was decreased to 1.9% by 2 years; and 20% had some degree of urgency and stress incontinence. Conclusion: Sacrospinous fixation is safe and effective procedure which can be done during pelvic organ prolapse surgery with good success rate and minimal post-operative complications.

scholarly journals Bilateral sacrospinous fixation without hysterectomy: 18-month follow-up

2015 ◽  
Vol 16 (2) ◽  
pp. 102-106 ◽  
Author(s):  
Mehmet Baki Senturk ◽  
Hakan Guraslan ◽  
Yusuf Cakmak ◽  
Murat Ekin
Keyword(s):  
Sacrospinous Fixation

Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Brain Disorders ◽  
Social Stressors ◽  
Labor Education ◽  
Mental Diseases ◽  
Long Term Follow Up ◽  
Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

Brief summary of Kleť photographic search programme for minor planets

1999 ◽  
Vol 173 ◽  
pp. 189-192
Author(s):  
J. Tichá ◽  
M. Tichý ◽  
Z. Moravec
Keyword(s):  
Ccd Camera ◽  
Minor Planet ◽  
Minor Planets ◽  
Main Belt

AbstractA long-term photographic search programme for minor planets was begun at the Kleť Observatory at the end of seventies using a 0.63-m Maksutov telescope, but with insufficient respect for long-arc follow-up astrometry. More than two thousand provisional designations were given to new Kleť discoveries. Since 1993 targeted follow-up astrometry of Kleť candidates has been performed with a 0.57-m reflector equipped with a CCD camera, and reliable orbits for many previous Kleť discoveries have been determined. The photographic programme results in more than 350 numbered minor planets credited to Kleť, one of the world's most prolific discovery sites. Nearly 50 per cent of them were numbered as a consequence of CCD follow-up observations since 1994.This brief summary describes the results of this Kleť photographic minor planet survey between 1977 and 1996. The majority of the Kleť photographic discoveries are main belt asteroids, but two Amor type asteroids and one Trojan have been found.

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