|Title:||Long-term follow-up of 453 patients with pelvic organ prolapse who underwent transvaginal sacrospinous colpopexy with Veronikis ligature carrier||Authors:||CHIN-JUI WU
|Keywords:||LIGAMENT FIXATION; SUPPORT DEFECTS; SURGERY; WOMEN; SUSPENSION; MESH; EPIDEMIOLOGY; OUTCOMES||Issue Date:||2020||Publisher:||NATURE PUBLISHING GROUP||Journal Volume:||10||Journal Issue:||1||Source:||Scientific reports||Abstract:||
Sacrospinous ligament fixation (SSLF) is one of the most utilized surgeries in the management of pelvic organ prolapse (POP). We conducted a large-series study of SSLF in a tertiary center by an experienced urogynecologic team. The 453 women with POP who underwent SSLF at National Taiwan University Hospital in the period from 2002 to 2015 are reviewed. All patients received unilateral SSLF with Veronikis ligature carrier. Concomitant anterior colporrhaphy was performed in 75.3% of the cases and posterior colporrhaphy in 78.6%. The mean operation time was 92.3 ± 31.5 minutes. The intraoperative blood loss was 92.3 ± 91.4 ml. The objective cure rate was 82.5%, and 79 (17.5%) patients recurred. The Kaplan-Meier recurrence-free analysis showed a steep decline during the first postoperative year, and the yearly number of recurrent patients decreased as the follow-up period proceeded. A comparison of the site of recurrence found that anterior compartment prolapse was the most common with 57 cases (12.6%). Paravaginal repair is frequently implemented in the management of recurrent anterior prolapse. In conclusion, SSLF provides excellent support to the apex compartment, and our long-term results show that the anterior compartment is the most commonly encountered type of POP recurrence.
aged; female; follow up; human; ligament; middle aged; operation duration; operative blood loss; pelvic organ prolapse; procedures; recurrent disease; Taiwan; time factor; treatment outcome; urologic surgery; Aged; Blood Loss, Surgical; Female; Follow-Up Studies; Humans; Ligaments; Middle Aged; Operative Time; Pelvic Organ Prolapse; Recurrence; Taiwan; Time Factors; Treatment Outcome; Urogenital Surgical Procedures
|Appears in Collections:||醫學系|
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