Clinical outcome of abdominal sacrocolpopexy.

J Midlife Health

Department of Obstetrics and Gynaecology, Government Medical College and Hospital, Chandigarh, India.

Published: February 2016

AI Article Synopsis

  • Vaginal vault prolapse often occurs after hysterectomy due to ligament weaknesses, and the standard treatment is sacrocolpopexy.
  • A cohort study analyzed patients who underwent abdominal sacrocolpopexy from April 2009 to August 2013, with follow-ups until April 2014 for outcome assessment.
  • Despite some complications, the procedure achieved a 100% success rate after one year, with a long-term patient satisfaction score of 85 out of 100.

Article Abstract

Introduction: Vaginal vault prolapse is one of the distressing conditions which occur after hysterectomy. This is due to the weakness or detachment of sacrouterine cardinal ligament complex from the vaginal cuff. Till now, the most accepted procedure for this condition is sacrocolpopexy.

Materials And Methods: We present a cohort of patients who underwent abdominal sacrocolpopexy (ASC) from April 2009 to August 2013. These patients were followed till April 2014 and were evaluated for subjective and objective outcomes following ASC.

Results: One patient had intraoperative hemorrhage and postoperative hematoma formation. One patient had vault abscess which was managed conservatively. Hundred percent success rate was noted at 1 year. Long-term patient satisfaction score was 85 (70-90).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743279PMC
http://dx.doi.org/10.4103/0976-7800.172305DOI Listing

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