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67692

Comparison Between Unilateral and Bilateral Sacrospinous Ligament Fixation for Management of Vault Prolapse

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Gynecology and Obstetrics

Abstract

Background: Hysteropexy is an effective procedure for vault prolapse as abdominal sacrocolpopexy but easier and simple. Right sacrospinous fixation has the same results of bilateral fixation.
Aim of the work: To evaluate the value and safety of unilateral or bilateral sacrospinous fixation [SSF].
Patients and methods: A prospective observational study was conducted in the Department of Obstetrics and Gynecology, Al-Azhar University, Damietta over a period of two years [July 2017 to June 2019]. A total of 32 patients posted for 16 cases unilateral sacrospinous ligament fixation to vault and 16 cases for bilateral fixation were enrolled after informed consent. Results were recorded under headings of procedure time [min], blood loss [ml], major intro-operative complications and post-operative complications, postoperative pain and duration of hospital stay.
Results: The result of unilateral 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] was evaluated as better than bilateral approach with the same efficacy, less time consuming, less blood loss and low post-operative pain.
Conclusion: Unilateral transvaginal sacrospinous ligament fixation revealed a significant reduction in intraoperative blood loss, procedure time, immediate post-operative pain, and mean length of hospital stay.

DOI

10.21608/ijma.2020.20302.1048

Keywords

Sacrospinous, fixation, Ligament, Sacrocolpopexy, Unilateral

Authors

First Name

Mahmoud Salah Mahmoud

Last Name

Rady

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.m.s.rady@domazhermedicine.edu.eg

City

-

Orcid

0000-0002-5858-9263

Volume

2

Article Issue

1

Related Issue

10770

Issue Date

2020-01-01

Receive Date

2019-11-29

Publish Date

2020-01-01

Page Start

247

Page End

252

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 1_Pages 247-252.pdf

PDF . 276.0kB

Link

https://ijma.journals.ekb.eg/article_67692.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=67692

Order

15

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Comparison Between Unilateral and Bilateral Sacrospinous Ligament Fixation for Management of Vault Prolapse

Details

Type

Article

Created At

22 Jan 2023