Perioperative complications and long term consequences of sacrospinous ligament fixation and abdominal sacrocolpopexy

Abstract

Objective: This retrospective study was done for comparison of early complications and long term consequences sacrospinous fixation (SSF) and abdominal sacrocolpopexy. Method: This sutdy was performed retrospectively from july 2015 to september 2017. Fifty four women were included the study. Forty women underwent vaginal sacrospinous fixation following vaginal hysterectomy for total prolapse and vaginal vault repair. Fourteen women underwent abdominal sacrocolpopexy procedure for preventing vaginal vault prolapsus. Perioperative complications were defined as any complication occurs during surgery or at the first 6 weeks postoperatively. Results: All patients were followed up for 6 weeks, 3, 6. and 12 th months postoperatively. Intraoperative presacral venous bleeding during the abdominal sacrocolpopexy were detected in two subjects. They were treated with applying pressure with gauze pad about 10 minutes. Vesical injury occured in one subject during the vaginal hysterectomy which was repaired easily via vaginally. The mean duration of follow-up was 12 months. Recurrent vaginal vault prolapses and cystocele in two cases, rectosel in one case and stress incontinence in two cases were detected following SFF. Conclusions: SSF can be used as an adjunctive and easy procedure after vaginal hysterectomy in pelvic organ prolapse. The advantage of the operation is avoiding of the laparatomy and preserve the functionality of the vagina. Abdominal sacrocolpopexy was associated with a higher succes of operative result.