Objective:
The aim of the study was to analyse clinical and operative findings and intraoperative complications in 22 of the patients who were performed sacrospinous ligament fixation for treatment of both vaginal cuff and uterine prolapses in our clinic.
Material and Methods:
This is a retrospective study conducted at Istanbul Education and Research Hospital, General Gynecology Clinic. Twenty-two patients who had undergone sacrospinous ligament fixation, performed by three different gynecologists between 2008 and 2014 were enrolled in the study. Preoperatively, history, demographical data, Baden Walker Classification for evaluation of uterine and vaginal cuff prolapse, operative and postoperative findings and complications were obtained from patients’ database.
Results:
The mean age of patients was 59.09 (minimum: 40, maximum: 81). The median gravida was 3 (0-12) and parity was 2 (0-12). Indications for sacrospinous ligament fixations were prolapse of uterus in 12 cases and vault prolapse in 10 cases. Vaginal hysterectomy was performed in all cases of uterine prolapses. Concomitant surgery (colporaphy anterior and posterior, enterocele) was performed in 17 patients. One bleeding complication occurred during suturation. The bleeding was controlled by hemoclip application. There were no intraoperative bladder or bowel injuries. There was no postoperative complication.
Conclusion:
Sacrospinous ligament fixation is a safe and feasible method in patients who had pelvic organ prolapse. Safe insertion of suture requires sufficient experience, and an adequate learning curve.
Keywords: sakrospinöz ligament fiksasyonu, prolapsus, hemoraji