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Archives of Gynecology and Obstetrics
Erschienen in: Archives of Gynecology and Obstetrics 6/2013

01.06.2013 | General Gynecology

Minimally invasive sacrospinous ligament suspension: perioperative morbidity and review of the literature

verfasst von: Melike Doğanay, Orhan Aksakal

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 6/2013

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Abstract

Purpose

The objective of this study is to determine the perioperative outcomes of minimal invasive sacrospinous ligament suspension (SSLS) in women with apical prolapse.

Methods

This prospective randomized study included 1,464 patients for a 10-year period. SSLS was performed by Deschamps ligature carrier at 762 patients (Group 1) and automatic suturing instrument was applied at 702 patients (Group 2). Patients’ perioperative complications, blood loss, operative time, and hospital stay were recorded.

Results

Suturing took 46 s (range 31–63 s) in Group 2 and 775 s (range 585–965 s) in Group 1. Group 2 patients had shorter time for suturing process, less postoperative analgesic requirement, and shorter hospital stay (p < 0.0001, p < 0.01, p < 0.01, respectively). Also there were no bladder, ureteral, rectum or nerve injuries in Group 2.

Conclusion

Minimally invasive SSLS is a reliable procedure with less procedural complications, reduced postoperative pain, less hospital stay and shorter operation times.
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Metadaten
Titel
Minimally invasive sacrospinous ligament suspension: perioperative morbidity and review of the literature
verfasst von
Melike Doğanay
Orhan Aksakal
Publikationsdatum
01.06.2013
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 6/2013
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-012-2687-6

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