Bilateral anterior sacrospinous ligament suspension associated with a paravaginal repair with mesh: short-term clinical results of a pilot study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-11-19

AUTHORS

Renaud de Tayrac, Laurent Boileau, Jean-François Fara, François Monneins, Charles Raini, Pierre Costa

ABSTRACT

Introduction and hypothesisThis study aims to assess anatomical and functional results of bilateral anterior sacrospinous ligament suspension associated with paravaginal repair with mesh.MethodsForty-eight patients were operated between March 2007 and August 2008. Mean age was 67 years old. Nineteen patients (39.6%) had been previously operated for a genital prolapse. All patients had both anterior vaginal wall prolapse and a level 1 defect; stage 2 to 4 (POP-Q).ResultsMedian follow-up is 8 months (range 1 to 18). Peri-operative complications were: one bladder injury (2.1%), three haematomas (6.3%), two ureteral kinking (4.2%) and two sciatic pain (4.2%). Anatomical success was observed in 47/48 patients (97.9%) for uterine or vaginal vault prolapse and 46/48 patients (95.8%) for anterior vaginal wall prolapse.ConclusionsThis procedure is a challenging surgical technique requiring a significant level of skill and training, which yields a very high success rate; however, it is not without potential ureteral and neurologic complications. More... »

PAGES

293-298

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00192-009-1036-1

DOI

http://dx.doi.org/10.1007/s00192-009-1036-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1010193323

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19924370


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