Clinical outcome of transvaginal sacrospinous fixation with the Veronikis ligature carrier in genital prolapse
Journal
European Journal of Obstetrics and Gynecology and Reproductive Biology
Journal Volume
152
Journal Issue
1
Pages
108-110
Date Issued
2010
Author(s)
Abstract
Objective: To evaluate the clinical outcome of sacrospinous fixation (SSF) using the Veronikis ligature carrier (VLC) for genital prolapse. Study design: A retrospective longitudinal study was performed. From December 2003 through June 2008, SSF was performed in 76 patients using the VLC as part of their site-specific reconstructive pelvic surgery. All patients were followed up postoperatively at 6 weeks, 3 months, 6 months, 12 months, and annually thereafter. Results: The median operative time of SSF was 34 min. It took less than 5 min to introduce two sutures through the ligament using the VLC. Four patients (5.3%) had recurrent vaginal vault descent at 3-8 months, and received SSF again. Three patients had recurrent stage 1 cystocele at 6-12 months, but did not require further surgery. Conclusion: The VLC allowed effective introduction of the suspending suture through the sacrospinous ligament and might be considered an important surgical component in the treatment of severe genital prolapse. ? 2010 Elsevier Ireland Ltd.
SDGs
Other Subjects
adult; aged; article; cystocele; disease severity; female; human; ligament; longitudinal study; major clinical study; medical instrumentation; operation duration; pelvic organ prolapse; pelvis surgery; postoperative period; priority journal; recurrent disease; retrospective study; sacrospinous fixation; suture; treatment indication; uterus prolapse; vagina reconstruction; vaginal vault prolapse
Type
journal article