Gynecologie, obstetrique & fertilite · 2004
[Sacrospinous colpopexy complications].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Estrade J-P, Agostini A, Roger V, Dallay D, Blanc B, Cravello L
Аннотация
OBJECTIVE: To evaluate complications of sacrospinous ligament fixation.
DESIGN: Monocentric retrospective study.
SETTING: Department of Obstetrics & Gynecology, La Conception University Hospital, Marcella.
PATIENTS AND METHODS: Between January 1991 and September 2002, 277 women (mean age 64.9 years, range 37 to 92 years) underwent a sacrospinous ligament fixation; 91% had a menopausal status, and 15.5% used hormone replacement therapy. 33.2% of the patients had prior hysterectomy, 28.9% had a history of surgery for prolapse, and 18.8% had associated symptoms of stress urinary incontinence. In all cases, sacrospinous ligament fixation was performed under visual control using conventional stitch. Sacrospinous ligament fixation was combined with the following procedures: anterior vaginal repair (N =137), additional incontinence surgery (N =31), vaginal hysterectomy (N =137), levator myorraphy (N =203).
MAIN OUTCOME MEASURES: Intraoperative complications, postoperative complications, long-term painful symptoms.
RESULTS: Intraoperative complications were represented by 1 case of vascular wound and four rectal injuries. Main postoperative complications were vaginal haematomas (N =6) and abscesses (N =2). Long-term symptoms were perineal pain, sciatic neuralgia, and dyspareunia.
DISCUSSION AND CONCLUSION: There was no surgical mortality, and we noted low rates of major complications. Sacrospinous ligament fixation assumes high priority in our therapeutic regimen.
DESIGN: Monocentric retrospective study.
SETTING: Department of Obstetrics & Gynecology, La Conception University Hospital, Marcella.
PATIENTS AND METHODS: Between January 1991 and September 2002, 277 women (mean age 64.9 years, range 37 to 92 years) underwent a sacrospinous ligament fixation; 91% had a menopausal status, and 15.5% used hormone replacement therapy. 33.2% of the patients had prior hysterectomy, 28.9% had a history of surgery for prolapse, and 18.8% had associated symptoms of stress urinary incontinence. In all cases, sacrospinous ligament fixation was performed under visual control using conventional stitch. Sacrospinous ligament fixation was combined with the following procedures: anterior vaginal repair (N =137), additional incontinence surgery (N =31), vaginal hysterectomy (N =137), levator myorraphy (N =203).
MAIN OUTCOME MEASURES: Intraoperative complications, postoperative complications, long-term painful symptoms.
RESULTS: Intraoperative complications were represented by 1 case of vascular wound and four rectal injuries. Main postoperative complications were vaginal haematomas (N =6) and abscesses (N =2). Long-term symptoms were perineal pain, sciatic neuralgia, and dyspareunia.
DISCUSSION AND CONCLUSION: There was no surgical mortality, and we noted low rates of major complications. Sacrospinous ligament fixation assumes high priority in our therapeutic regimen.