Abstract
Video Objective At our center we compared the two methods of conservative operations for nulliparous genital prolapse in young women: sling surgery Vs pectopexy. Setting Tertiary referral centre (Tulip Multispeciality Hospital) it is a retrospective cohort study. Interventions Young Patient with 2nd or 3rd degree prolapse with absent or minimal cystocele/rectocele. We had randomly selected 24 patients who underwent sling surgery & 28 patients whounderwent pectopexy as consecutive surgery. Sling Surgery was performed using TOT mesh which is attached to the post surface of cervix (polypropylene mesh)going intraperitoneally and further attached to anterior rectus sheath extra peritoneally.The procedure is followed by moscowitz repair. Pectopexy was mesh placement on iliopectineal ligaments (Bony attachment) on both sides. Conclusion The long term follow-up showed a clear difference in the complication rates of the two procedures. 3 patients who had undergone sling surgery had skin site infection with pus extruding from the skin site. On exploration there was pelvic infection as a consequence of mesh from pelvis up to skin, which had to be removed. No such complication was seen in pectopexy group. The incidence of denovo stress urinary incontinence and rectocele were similar in both the groups. The apical descensus relapse rates were similar in both the group. Laparoscopic pectopexy is a novel method of vaginal prolapse therapy that offers clear practical advantages compared with laparoscopic sling surgeries with minimally associated complications & equivocal satisfaction rates. At our center we compared the two methods of conservative operations for nulliparous genital prolapse in young women: sling surgery Vs pectopexy. Tertiary referral centre (Tulip Multispeciality Hospital) it is a retrospective cohort study. Young Patient with 2nd or 3rd degree prolapse with absent or minimal cystocele/rectocele. We had randomly selected 24 patients who underwent sling surgery & 28 patients whounderwent pectopexy as consecutive surgery. Sling Surgery was performed using TOT mesh which is attached to the post surface of cervix (polypropylene mesh)going intraperitoneally and further attached to anterior rectus sheath extra peritoneally.The procedure is followed by moscowitz repair. Pectopexy was mesh placement on iliopectineal ligaments (Bony attachment) on both sides. The long term follow-up showed a clear difference in the complication rates of the two procedures. 3 patients who had undergone sling surgery had skin site infection with pus extruding from the skin site. On exploration there was pelvic infection as a consequence of mesh from pelvis up to skin, which had to be removed. No such complication was seen in pectopexy group. The incidence of denovo stress urinary incontinence and rectocele were similar in both the groups. The apical descensus relapse rates were similar in both the group. Laparoscopic pectopexy is a novel method of vaginal prolapse therapy that offers clear practical advantages compared with laparoscopic sling surgeries with minimally associated complications & equivocal satisfaction rates.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
