Abdominal Sacrocolpopexy for Post-hysterectomy vault Prolapse with Proline Mesh in WomenAttending in BMIMS, Pawapuri
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Date
2024-05
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Publisher
International Research Organization for Life & Health Sciences
Abstract
Introduction: Vault prolapse is a common health problem; however, severe morbidity is rare. However, it can have a marked effect on quality of life. Many surgical procedures have been described using the abdominal or vaginal approach. The procedure choice often depends on the individual surgeon’s choice and experience. The abdominal sacral colpopexy employs the interposition of a synthetic mesh or tissue graft between the vagina and sacrum. The surgical mesh consists of a flat, net-like structure that is surgically implanted to support weaknesses of soft tissue, hence its application in treating pelvic prolapses. Aims and Objectives: The aims and objectives are to evaluate abdominal sacrocolpopexy (ASC) with prolene mesh as an operative technique performed at our institution in symptomatic vault prolapse in post-hysterectomy patients. Materials and Methods: A total of 12 patients underwent ASC due to symptomatic vault prolapse after a hysterectomy between July 2021 and March 2023 at the obstetrics and gynecology department of BMIMS, Pawapuri, was retrospectively reviewed using the hospital information management system. Results: Twelve women had vault repair by ASC procedure. In three women along with sacrocolpopexy for vault prolapse, posterior colpoperineorrhaphy was done for rectocele. No major complication occurred during sacrocolpopexy in any patients. In none of these patients were blood transfusions necessary considering the small amount of blood loss. Conclusion: ASC has proven to be superior to other techniques. The choice of surgical approach depends on the preference and experience of the gynecologist. The procedure and experience of a gynecologist are important in repairing vault prolapse after total abdominal hysterectomy or vaginal hysterectomy to reduce recurrence.
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Keywords
Abdominal sacrocolpopexy, Prolene mesh, Vault prolapse
Citation
Priya S, Verma R, Shilpa S, Singh S, Kumar V. Abdominal Sacrocolpopexy for Post-hysterectomy vault Prolapse with Proline Mesh in WomenAttending in BMIMS, Pawapuri. International Journal of Scientific Study. 2024 May; 12(2): 15-19