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

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]. Pa...

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Autor principal:	Mahmoud Salah Mahmoud Rady
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	sacrospinous fixation ligament sacrocolpopexy unilateral Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/830c88e54da24efa954cab3a023008c9
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spelling	oai:doaj.org-article:830c88e54da24efa954cab3a023008c92021-12-02T14:02:00ZComparison Between Unilateral and Bilateral Sacrospinous Ligament Fixation for Management of Vault Prolapse2636-41742682-378010.21608/ijma.2020.20302.1048https://doaj.org/article/830c88e54da24efa954cab3a023008c92020-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_67692_ea65d509be18d5eb28811244f9d8d010.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Mahmoud Salah Mahmoud RadyAl-Azhar University, Faculty of Medicine (Damietta)articlesacrospinousfixationligamentsacrocolpopexyunilateralMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 1, Pp 247-252 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	sacrospinous fixation ligament sacrocolpopexy unilateral Medicine (General) R5-920
spellingShingle	sacrospinous fixation ligament sacrocolpopexy unilateral Medicine (General) R5-920 Mahmoud Salah Mahmoud Rady Comparison Between Unilateral and Bilateral Sacrospinous Ligament Fixation for Management of Vault Prolapse
description	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.
format	article
author	Mahmoud Salah Mahmoud Rady
author_facet	Mahmoud Salah Mahmoud Rady
author_sort	Mahmoud Salah Mahmoud Rady
title	Comparison Between Unilateral and Bilateral Sacrospinous Ligament Fixation for Management of Vault Prolapse
title_short	Comparison Between Unilateral and Bilateral Sacrospinous Ligament Fixation for Management of Vault Prolapse
title_full	Comparison Between Unilateral and Bilateral Sacrospinous Ligament Fixation for Management of Vault Prolapse
title_fullStr	Comparison Between Unilateral and Bilateral Sacrospinous Ligament Fixation for Management of Vault Prolapse
title_full_unstemmed	Comparison Between Unilateral and Bilateral Sacrospinous Ligament Fixation for Management of Vault Prolapse
title_sort	comparison between unilateral and bilateral sacrospinous ligament fixation for management of vault prolapse
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/830c88e54da24efa954cab3a023008c9
work_keys_str_mv	AT mahmoudsalahmahmoudrady comparisonbetweenunilateralandbilateralsacrospinousligamentfixationformanagementofvaultprolapse
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Comparison Between Unilateral and Bilateral Sacrospinous Ligament Fixation for Management of Vault Prolapse

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