Abdominal Sacrohysteropexy in Women with Uterovajinal Prolapse: Our 3 Years Clinical Experience
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Dosyalar
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Derman Medical Publ
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: Weakening of uterine supporting ligaments, especially cardinal and uterosacral ligaments, causes uterovaginal prolapse. Although uterovaginal prolapse is not related to uterus, hysterectomy has been the most preferred surgery in these situations. However, in recent years, uterine preservation surgery has become popular because patients begin to prefer uterus preservation for psychological reasons and site specific surgery has been developed. One of the most important uterine preservation surgery is abdominal sacrohysteropexy(ASH). In this study, we aim to present our clinical result of ASH surgey in women with uterovaginal prolapsus. Material and Method: Of 27 patients who had ASH operation due to uterovaginal prolapsus between January 2010-March 2013 in our clinic were included in the study. All the patients had preoperative urogenital examination and transvaginal ultrasonography were performed before operation. Pelvic organ prolapsus degree were recorded according to the pelvic organ prolapsus quantification system(POP-Q). ASH operation was performed by laparatomy to all patients. Of 5 patients who had stress type incontinance had 'Burch' operation concomitantly. Results: The mean hospitalization day of patients who had ASH operation was 2.6 days(range 2-5days) and the mean age of patients were 52.8 +/- 7.5. None of the patients had bladder, ureter or intestine injury due to operation. While anatomical success rate were 92.6%, recurrence rate was 7.4 % at the end of first year. Ileus was not observed and only one patient who had burch operation had recurrent urinary incontinance symptoms at the end of the first year. Discussion: Our study results showed that ASH operation is a successfull operation in pelvic organ prolapse. This method also was found to be superior to others in terms of minimal complications.
Açıklama
Anahtar Kelimeler
Abdominal Sacrohysteropexy, Burch, Uterovaginal Prolapse
Kaynak
Journal of Clinical and Analytical Medicine
WoS Q DeÄŸeri
N/A
Scopus Q DeÄŸeri
Cilt
6
