Sacrospinous ligament fixation – a Malaysian’s tertiary centre experience

During the study period from January 2008 to December 2012, 177 women had transvaginal sacrospinous ligament fixation (SSF) for vault suspension at General Hospital Kuala Lumpur. Of the 177 women, 133 (75.1%) had severe uterovaginal prolapse while 44 (24.9%) had post-hysterectomy vault prolapse. All...

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Main Authors:	Norlelawati Ab Latip, Ng, PY
Format:	Article
Language:	English
Published:	Pusat Perubatan Universiti Kebangsaan Malaysia 2017
Online Access:	http://journalarticle.ukm.my/12266/ http://journalarticle.ukm.my/12266/ http://journalarticle.ukm.my/12266/1/5._ab_latip_et_al.pdf

id	ukm-12266
recordtype	eprints
spelling	ukm-122662018-11-02T21:22:08Z http://journalarticle.ukm.my/12266/ Sacrospinous ligament fixation – a Malaysian’s tertiary centre experience Norlelawati Ab Latip, Ng, PY During the study period from January 2008 to December 2012, 177 women had transvaginal sacrospinous ligament fixation (SSF) for vault suspension at General Hospital Kuala Lumpur. Of the 177 women, 133 (75.1%) had severe uterovaginal prolapse while 44 (24.9%) had post-hysterectomy vault prolapse. All patients with severe uterovaginal prolapse and rectocele undergone vaginal hysterectomy and posterior colporrhaphy respectively. A hundred and seventy-four patients (98.3%) had anterior repair whilst 48 (27.1%) received midurethral sling as concomitant procedure to vault suspension (SSF). The mean duration of surgery was 92.1±30.2 minutes and the mean estimated blood loss was 319±199.3mls. There was no surgical mortality. Two patients (1.1%) had rectal injuries. No patient had bladder injury or de novo urinary symptoms. The commonest immediate postoperative complications was fever (98; 55.4%) followed by buttock pain in 18 (10.2%) patients. Both complications were resolved with conservative measures. Seven patients (3.9%) had sutures erosion as late complications. Of the 177 women, 158 (89.3%) and 141 (79.7%) came for the 6 and 12 months follow-up, respectively. The success rate for all three compartments ranged from 92.4% to 98.1% at 6 months and reduced to range from 85.7% to 94.4% at 12 months. The highest success rate was observed in the posterior compartment followed by apical and anterior compartment. Equally, the recurrence rate was lowest in the posterior compartment (1.9%), followed by the central (3.8%) and anterior compartment (7.5%) at 6 months’ review. This increased to 5.7% for rectocele, 7.8% for vault prolapse and 14.2% for cystocele at 12 months’ follow-up. None had repeated surgery for prolapse recurrence during the study period. In conclusion, SSF remains a high priority in our therapeutic regime for the treatment of severe uterovaginal and vault prolapse as it has a reasonably good success rate with lower serious complications in the skillful hands. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12266/1/5._ab_latip_et_al.pdf Norlelawati Ab Latip, and Ng, PY (2017) Sacrospinous ligament fixation – a Malaysian’s tertiary centre experience. Journal of Surgical Academia, 7 (1). pp. 21-28. ISSN 2231-7481 http://jsurgacad.com/toc/7/1
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	During the study period from January 2008 to December 2012, 177 women had transvaginal sacrospinous ligament fixation (SSF) for vault suspension at General Hospital Kuala Lumpur. Of the 177 women, 133 (75.1%) had severe uterovaginal prolapse while 44 (24.9%) had post-hysterectomy vault prolapse. All patients with severe uterovaginal prolapse and rectocele undergone vaginal hysterectomy and posterior colporrhaphy respectively. A hundred and seventy-four patients (98.3%) had anterior repair whilst 48 (27.1%) received midurethral sling as concomitant procedure to vault suspension (SSF). The mean duration of surgery was 92.1±30.2 minutes and the mean estimated blood loss was 319±199.3mls. There was no surgical mortality. Two patients (1.1%) had rectal injuries. No patient had bladder injury or de novo urinary symptoms. The commonest immediate postoperative complications was fever (98; 55.4%) followed by buttock pain in 18 (10.2%) patients. Both complications were resolved with conservative measures. Seven patients (3.9%) had sutures erosion as late complications. Of the 177 women, 158 (89.3%) and 141 (79.7%) came for the 6 and 12 months follow-up, respectively. The success rate for all three compartments ranged from 92.4% to 98.1% at 6 months and reduced to range from 85.7% to 94.4% at 12 months. The highest success rate was observed in the posterior compartment followed by apical and anterior compartment. Equally, the recurrence rate was lowest in the posterior compartment (1.9%), followed by the central (3.8%) and anterior compartment (7.5%) at 6 months’ review. This increased to 5.7% for rectocele, 7.8% for vault prolapse and 14.2% for cystocele at 12 months’ follow-up. None had repeated surgery for prolapse recurrence during the study period. In conclusion, SSF remains a high priority in our therapeutic regime for the treatment of severe uterovaginal and vault prolapse as it has a reasonably good success rate with lower serious complications in the skillful hands.
format	Article
author	Norlelawati Ab Latip, Ng, PY
spellingShingle	Norlelawati Ab Latip, Ng, PY Sacrospinous ligament fixation – a Malaysian’s tertiary centre experience
author_facet	Norlelawati Ab Latip, Ng, PY
author_sort	Norlelawati Ab Latip,
title	Sacrospinous ligament fixation – a Malaysian’s tertiary centre experience
title_short	Sacrospinous ligament fixation – a Malaysian’s tertiary centre experience
title_full	Sacrospinous ligament fixation – a Malaysian’s tertiary centre experience
title_fullStr	Sacrospinous ligament fixation – a Malaysian’s tertiary centre experience
title_full_unstemmed	Sacrospinous ligament fixation – a Malaysian’s tertiary centre experience
title_sort	sacrospinous ligament fixation – a malaysian’s tertiary centre experience
publisher	Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate	2017
url	http://journalarticle.ukm.my/12266/ http://journalarticle.ukm.my/12266/ http://journalarticle.ukm.my/12266/1/5._ab_latip_et_al.pdf
first_indexed	2023-09-18T20:02:13Z
last_indexed	2023-09-18T20:02:13Z
_version_	1777406924610863104

Sacrospinous ligament fixation – a Malaysian’s tertiary centre experience

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