Vaginal Hysterectomy and Sacrospinous Colpopexy for Uterovaginal Prolapse : Anatomical and Functional Outcomes = استئصال الرحم بطريق المهبل و تثبيت المهبل للرباط العجزي الشوكي في حالات تدلي الرحم المهبلي : النتائج التشريحية و الوظيفية

2013 ◽  
Vol 47 (4) ◽  
pp. 331-339
Author(s):  
Ayman Qatawneh
Keyword(s):  
Vaginal Hysterectomy ◽  
Functional Outcomes ◽  
Uterovaginal Prolapse ◽  
Sacrospinous Colpopexy

scholarly journals Transvaginalna sakrospinalna kolpopeksija u resavanju uterovaginalnog prolapsa i prolapsa vaginalnih zidova

2004 ◽  
Vol 51 (3) ◽  
pp. 79-83
Author(s):  
R. Argirovic ◽  
I. Likic-Ladjevic ◽  
S. Pantovic
Keyword(s):  
Vaginal Hysterectomy ◽  
Intraoperative Complications ◽  
Vaginal Wall ◽  
High Ligation ◽  
Uterovaginal Prolapse ◽  
Complication Rates ◽  
Vault Prolapse ◽  
Time Duration ◽  
Vaginal Repair ◽  
Sacrospinous Colpopexy

Investigation has been performed upon 29 patients of average age of 62,7 years who have undergone sacrospinous colpopexy because of different degree of uterovaginal prolapse (26 patients) and vaginal vault prolapse (3 patients) after having abdominal or vaginal hysterectomy. In patients with uterovaginal prolapse, 23 of them have vaginal hysterectomy with high ligation of the enterocele sac, anterior et posterior vaginal repair and sacrospinous colpopexy, while 3 patients had conservation of uterus following previous reparation of vaginal walls and cervi- cosacrocolpopexy. Only in one patient we had intraoperative lession of the bladder with no other intraoperative complications so far.Aveage time duration of the operation was 112 minutes.All patients were scheduled to be seen at 4 weeks, 6 months and 12 months after operation and then yearly therafter.The mean follow-up period was 16,8 months (6-27). We have achieved satisfactory results in 25 patients while 4 patients have bladder instability, 3 patients suffered from urinary infection, 2 have febrile morbidity and 2 bottock pain. Sacrospinous colpopexy can be performed together with vaginal hysterectomy and anterior and posterior vaginal wall repair in patients with marked uterovaginal prolapse because of its high success in avoiding possible vault prolapse and low intra and post-operative complication rates.

scholarly journals Application of transvaginal sacrospinous colpopexy in the treatment of pelvic organs prolapse

2005 ◽  
Vol 62 (9) ◽  
pp. 637-643 ◽  
Author(s):  
Rajka Argirovic ◽  
Ivana Likic-Ladjevic ◽  
Svetlana Vrzic-Petronijevic ◽  
Milos Petronijevic ◽  
Nebojsa Ladjevic
Keyword(s):  
Postoperative Complications ◽  
Vaginal Hysterectomy ◽  
Intraoperative Complications ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Uterovaginal Prolapse ◽  
Complication Rates ◽  
Sacrospinous Ligament ◽  
Vault Prolapse ◽  
Sacrospinous Colpopexy

Introduction. The incidence of uterovaginal and vaginal vault prolapse appears to be higher due to the increased longevity of women. Sacrospinous ligament colpopexy is a surgery procedure which suspends the vagina up to the sacrospinous ligament and brings upper vagina over the levator plate. This technique is very useful for the primary treatment of uterovaginal prolapse in young women who want to preserve their fertility. The main aim of our study was to present the effectiveness of the us of this technique at our clinic, to investigate the possible intraoperative and postoperative complications of this technique, and to find out its effectiveness in the prevention of repeated vaginal vault prolapse. Methods. Patients were treated with sacrospinous colpopexy with uterine conservation, vaginal hysterectomy with simultaneous sacrospinous colpopexy or obliteration of the enterocele sac, and sacrospinous colpopexy. Follow-up examinations of the patients we performed at 4 weeks, 6 months and 12 months after the surgery and yearly thereafter. Results. Thirtyseven women were treated with sacrospinous ligament suspension of vaginal vault. The 5 women had vault prolapse following the hysterectomy (the 3 of then had abdominal, and the 2 vaginal hysterectomy), and another 32 women had the various degrees of uterovaginal prolapse. We obtained satisfactory results in 33 patients, in the 3 we noticed asymptomatic cystocele, and the 1 (2,7%) had partial vaginal vault prolapse six months after the surgery. With regard to postoperative complications, 3 patients had urination disturbance, 3 patients had urinary tract infection, 2 patients had febrile temperature, and the 2 patients had low back pain. Discussion. We performed sacrospinous fixation on the right side, and the postoperative results demonstrated no disturbance in vaginal axis and vault prolapse except in 1 patient. We had no intraoperative complications noted related to sacrospinous ligament colpopexy, such as the damage to the pudendal vessels and nerve, the sciatic nerve and rectum. The possibility of injury to the vessels and nearby nerves was preventid with the careful placement of suture through the sacrospinous ligament in the two fingerbreadths medial to its insertion in the ischial spine. In our series, we had 3 patients with conservation of the uterus. The 3 asymptomatic cystocele in our series were diagnosed 6 months after the operation. Our results were satisfactory, since we hade only one postoperative vault prolapse (2,7%). Conclusion. The results of numerous studies, as well as the results of our study, showed that transvaginal sacrospinous colpopexy could be performed along with vaginal hysterectomy and the anterior and posterior vaginal wall repair in the patients with uterovaginal prolapse because of its high success in the prevention of postoperative vaginal vault prolapse and the low intra- and postoperative complication rates. This operative technique is successful in prevention of repeated vaginal vault prolapse.

scholarly journals Trends in Hysterectomy for Genital Prolapse: Rural Experience

2013 ◽  
Vol 7 ◽  
pp. CMRH.S10804 ◽  
Author(s):  
Shakuntala Chhabra ◽  
Manjiri Ramteke ◽  
Sonali Mehta ◽  
Nisha Bhole ◽  
Yojna Yadav
Keyword(s):  
Coming Out ◽  
Vaginal Hysterectomy ◽  
Preoperative Evaluation ◽  
Genital Prolapse ◽  
Uterovaginal Prolapse ◽  
Preoperative Treatment ◽  
Genital Tract Infection ◽  
Surgical Morbidity ◽  
Mortality And Morbidity ◽  
Abnormal Vaginal Bleeding

The present study was conducted to investigate the trends of vaginal hysterectomy for genital prolapse in last 20 years by analyzing case records of affected women. During the analysis period, 4831 women underwent hysterectomy; records of 4223 (87.5%) were available. Of these, 911 (21.6%), 2.7% of 34,080 gynecological admissions, had vaginal hysterectomy for genital prolapse (study subjects). Eighty percent women who had vaginal hysterectomy for genital prolapse were over 40 years of age; however, most of these women had had the disorder for years before they presented. Only 4 (0.4%) women had not given birth, 874 (96%) women had had two or more births, and 383 (42%) had had 5 or more births. Having given birth was the major factor responsible for genital prolapse. In all, 94.2% of women presented with something coming out of the vagina.” Some women presented with abnormal vaginal bleeding or pain in abdomen as the chief complaint although they had had uterovaginal prolapse for years. There was no mortality and morbidity decreased over the years. There has been no change in the rate of vaginal hysterectomy for genital prolapse over the years. Surgical morbidity decreased trend, possibly because of the preoperative, intraoperative, and postoperative precautions taken, especially preoperative treatment of urinary and genital tract infection. Attempts need to be made to have safe births and a healthy life style so as to prevent genital prolapse and in case it occurs, therapy to prevent progression so that major interventions like hysterectomy are averted. Meticulous preoperative evaluation and planned therapy help in reducing surgical morbidity, if surgery becomes essential.

scholarly journals A Review of Comparison of Complications of Vaginal Hysterectomy with and without Concomitant Surgery for SUI: A 5 Years’ Experience at a Tertiary Care Hospital of Pakistan

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Raheela Mohsin Rizvi ◽  
Munnazza Akhtar ◽  
Nadeem Faiyaz Zuberi
Keyword(s):  
Vaginal Hysterectomy ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
International Classification Of Diseases ◽  
Medical Intervention ◽  
Uterovaginal Prolapse ◽  
Care Hospital ◽  
Cross Sectional ◽  
Efficient Treatment ◽  
Concomitant Surgery

Objective. The study was performed to review the complications of surgery for POP with or without surgery for SUI. This included the need for second procedure two years after the primary surgery.Study Design. We conducted a retrospective cross-sectional comparative study at the Aga Khan University, Karachi, Pakistan. International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) was used to identify women who underwent vaginal hysterectomy with anterior/posterior repair alone and those with concomitant tension-free vaginal tape surgery for urodynamic stress incontinence.Results. The 28 cases of VH/repair combined with TVT were compared for complications with 430 cases of VH with repair alone. The basic characteristics like age, BMI, and degree of prolapse showed no statistical difference among two groups. The main comorbidities in both groups were hypertension, diabetes, and bronchial asthma. We observed no significant differences in intraoperative and postoperative complications except for cuff abscess, need for medical intervention, and readmission following discharge from hospital, which were higher in cases with vaginal hysterectomy with concomitant TVT.Conclusions. Vaginal hysterectomy is an efficient treatment for uterovaginal prolapse with a swift recovery, short length of hospital stay, and rare serious complications. The addition of surgery for USI does not appear to increase the morbidity.

An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East Nigeria

2020 ◽  
Vol 29 (2) ◽  
pp. 265
Author(s):  
MaradonaE Isikhuemen ◽  
KennethC Ekwedigwe ◽  
Ileogben Sunday-Adeoye
Keyword(s):  
Pelvic Floor ◽  
Vaginal Hysterectomy ◽  
Uterovaginal Prolapse ◽  
Pelvic Floor Repair

Vaginal hysterectomy for uterovaginal prolapse: what is the incidence of concurrent gynecological malignancy?

2014 ◽  
Vol 26 (3) ◽  
pp. 421-425 ◽  
Author(s):  
Themos Grigoriadis ◽  
Aikaterini Valla ◽  
Dimitrios Zacharakis ◽  
Athanasios Protopapas ◽  
Stavros Athanasiou
Keyword(s):  
Vaginal Hysterectomy ◽  
Uterovaginal Prolapse ◽  
Gynecological Malignancy
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