Perioperative Complications in Abdominal Sacrocolpopexy, Sacrospinous Ligament Fixation and Prolift Procedures

Year 2014, Volume: 2014 Issue: 2, 158 - 163, 07.08.2014

Fuat Demirci Oya Demirci Zehra Nihal Dolgun Birgül Karakoç Elif Demirci Aslı Somunkıran Cem İyibozkurt Erhan Karaalp

https://doi.org/10.5152/balkanmedj.2014.13135

Abstract

Background: Pelvic organ prolapse is an important problem for women. To overcome this issue, different operational technics are in use, such as abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure. Aims: This study assessed perioperative complications in abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure. Study Design: Retrospective comparative study. Methods: Perioperative complications were defined as any complication occurring during surgery or the first 6 weeks postoperatively. Forty-five patients underwent abdominal procedures, 60 patients underwent sacrospinous fixation, and 43 patients underwent the total Prolift procedure. Results: In the abdominal group, one bladder injury, four hemorrhages, and three wound dehiscences occurred. In the sacrospinous group, one rectal injury and one postoperative vault infection occurred. In the Prolift group, one bladder injury and one hemorrhage occurred. Minor complications were more frequent in the abdominal group than the others. The operating time and hospital stay of the abdominal group were significantly longer than the others. The Prolift procedure had less operating time and hospital stay than other procedures. Conclusion: The total Prolift may be a novel alternative for apical prolapse with low perioperative morbidities and complications.

Keywords

Pelvic organ prolapse, Prolift, sacrocolpopexy, sacrospinous fixation

Perioperative Complications in Abdominal Sacrocolpopexy, Sacrospinous Ligament Fixation and Prolift Procedures

Abstract

References

• Nichols DH. Sacrospinous fixation for massive eversion of the vagina. Am J Obstet Gynecol 1982;142:901-4
• Shull BL, Capen CV, Riggs MW, Kuehl TJ. Preoperative and postoperative analysis of site-specific pelvic support defects in 81 women treated with sacrospinous ligament suspension and pelvic reconstruction. Am J Obstet Gynecol 1992;166:1764-71. [CrossRef]
• Fatton B, Amblard J, Debodinance P, Cosson M, Jacqutin B. Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)--a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:743-52. [CrossRef]
• Caquant F, Collinet P, Debodinance P, Berrocal J, Garbin O, Rosenthal C, et al. Safety of Trans Vaginal Mesh procedure: retrospective study of 684 patients. J Obstet Gynaecol Res 2008;34:449-56. [CrossRef]
• Randall CL, Nichols DH. Surgical treatment of vaginal inversion. Obstet Gynecol 1971;38:327-32.
• Cruikshank SH. Sacrospinous fixation should this be performed at the time of vaginal hysterectomy? Am J Obstet Gynecol 1991;164:1072-76. [CrossRef]
• Porges RF, Smilen SW. Long-term analysis of the surgical management of pelvic support defects. Am J Obstet Gynecol 1991;171:1518-28. [CrossRef]
• Demirci F, Ozdemir I, Somunkiran A, Topuz S, Iyibozkurt C, Duras Doyran G, et al. Perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:257-61. [CrossRef]
• Balkan Med J, Vol. 31, No. 2, 2014
• Brubaker L, Norton P. Current clinical nomenclature for description of pelvic organ prolapse. J Pelvic Med Surg 1996;2:257.
• Baden WF, Walker TA, Lindsay HJ. The vaginal profile. Tex Med J 1968;64:56-8.
• Nieminen K, Hiltunen R, Heiskanen E, Takala T, Niemi K, Merikari M, et al. Symptom resolution and sexual function after anterior vaginal wall repair with or without polypropylene mesh. Int Urogynecol J 2008;19:1611-6. [CrossRef]
• Jacquetin B, Fatton B, Rosenthal C, Clavé H, Debodinance P, Hinoul P, et al. Total transvaginal mesh (TVM) technique for treatment of pelvic organ prolapse: a 3- year prospective follow-up study. Int Urogynecol J 2010;21:1455-62. [CrossRef]
• Nygaard IE, McCreery R, Brubaker L, Connolly A, Cundiff G, Weber AM, et al. Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol 2004;104:805-23. [CrossRef]
• David-Montefiore E, Garbin O, Hummel M, Nisand I. Sacrospinous ligament fixation peri-operative complications in 195 cases: visual approach versus digital approach of the sacro- spinous ligament. Eur J Obstet Gynecol Reprod Biol 2004;116:71-8. [CrossRef]
• Benson JT, Lucente V, Mc Clellan E. Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 1996;175:1418-22. [CrossRef]
• Lo TS, Wang AC. Abdominal colposacropexy and sacrospinous ligament suspension for severe uterovaginal prolapse: a comparison. J Gynecol Surg 1998;14:59-64. [CrossRef]
• Maher CF, Qatawneh AM, Dwyer PL, Carey MP, Cornish A, Schuleter PJ. Abdominal sacrocolpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol 2004;190:20-6. [CrossRef]
• Maher C, Feiner B, Baessler K, Adams EJ, Hagen S, Glazener CM. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 2010; 14: CD004014. doi: 10.1002/14651858. CD004014. pub4 [CrossRef]
• Kato K, Suzuki S, Yamamoto S, Furuhashi K, Suzuki K, Murase T, et al. Clinical pathway for tension-free vaginal mesh procedure: evaluation in 300 patients with pelvic organ prolapsed. Int J Urol 2009;16:314-7. [CrossRef]
• Withagen MI, Milani AL, den Boon J, Vervest HA, Vierhout ME. Trocar-guided mesh compared with conventional vaginal repair in recurrent prolapse: a randomized controlled trial. Obstet Gynecol 2011;117:242-50 [CrossRef]
• Sanses TV, Shahryarinejad A, Molden S, Hoskey KA, Abbasy S, Patterson D, Saks EK, et al. Anatomic outcomes of vaginal mesh procedure (Prolift) compared with uterosacral ligament suspension and abdominal sacrocolpopexy for pelvic organ prolapse: a Fellow’s Pelvic Research Network study. Am J Obstet Gynecol 2009;5:519.e1-8.
• Diwadkar GB, Barber MD, Feiner B, Maher C, Jelovsek JE. Complication and reoperation rates after apical vaginal prolapse surgical repair: a systematic review. Obstet Gynecol 2009;113:367-73. [CrossRef]