Complications of three sacrospinous ligament fixation techniques

International Journal of Gynecology & Obstetrics - Tập 99 Số 1 - Trang 18-22 - 2007
Jeffrey Pollak1, Péter Takács, Carlos A. Medina
1Florida Center for Urogynecology, Hollywood, Florida, USA.

Tóm tắt

AbstractObjectives: To compare the complications of three techniques used to pass the suture through the sacrospinous ligament when performing sacrospinous ligament fixation (SSLF): (1) the standard needle driver with direct visualization; (2) the Deschamps ligature carrier by palpation; and (3) the Miya hook ligature carrier by palpation. Materials and methods: A retrospective chart review of 240 patients undergoing SSLF was performed. A standard needle driver with direct visualization was used for 46 patients; the Deschamps ligature carrier was used for 173, and the Miya hook for 21 patients. Intraoperative and postoperative complications were compared between the groups. Results: Twelve women (5%) had intraoperative and forty women (17%) had postoperative complications suspected directly from the suture placement. There was no statistically significant difference in the rate of total intraoperative complications among the three groups. The proportion of patients with postoperative complications that were felt to be directly related to the suture passage technique was significantly higher in the Deschamps group compared to the direct visualization group (18% vs 2%, P = 0.002). Conclusion; Passing the suture through the sacrospinous ligament under direct visualization may result in less intra and postoperative complications.

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Thông tin xuất bản

International Journal of Gynecology & Obstetrics

Tập 99 Số 1

18-22

Thông tin tác giả