Perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures |
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Authors: | Fuat Demirci Ismail Ozdemir Asli Somunkiran Samet Topuz Cem Iyibozkurt Gonul Duras Doyran Ozlem Kemik Gul Barıs Gul |
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Affiliation: | (1) Department of Obstetrics and Gynecology, Duzce Medical Faculty, Abant Izzet Baysal University, Duzce, Turkey;(2) Department of Obstetrics and Gynecology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey;(3) Present address: Selahattin Pinar Sok. No. 121/8, Mehtap Apt. 80160 Cicekci, Uskudar, Istanbul, Turkey |
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Abstract: | This study assessed perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures. Perioperative complications were defined as any complication occurring during surgery or the first 6 weeks postoperatively. Forty-five patients underwent abdominal procedures (20 sacrohysteropexy and 25 sacrocolpopexy) and 60 patients underwent vaginal sacrospinous fixation. Of the 105 patients, 13 had vaginal vault prolapse. In the abdominal group, one bladder injury, four hemorrhages, and three wound dehiscences occurred. In the vaginal group, one rectal injury and one postoperative vaginal vault infection occurred. Major and minor complications were more frequent in the abdominal group than in the vaginal group. Blood loss was not significantly different. The operating time and hospital stay in the abdominal group were significantly longer than in the vaginal group. In conclusion, abdominal sacrocolpopexy had a higher rate of perioperative complications and longer hospital stay and operating time. |
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Keywords: | Pelvic organ prolapse Pelvic reconstructive surgery Sacrocolpopexy Sacrohysteropexy Sacrospinous fixation Vaginal vault prolapse |
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