Document Detail

Minimally invasive sacrospinous ligament suspension: perioperative morbidity and review of the literature.
MedLine Citation:
PMID:  23271686     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The objective of this study is to determine the perioperative outcomes of minimal invasive sacrospinous ligament suspension (SSLS) in women with apical prolapse.
METHODS: This prospective randomized study included 1,464 patients for a 10-year period. SSLS was performed by Deschamps ligature carrier at 762 patients (Group 1) and automatic suturing instrument was applied at 702 patients (Group 2). Patients' perioperative complications, blood loss, operative time, and hospital stay were recorded.
RESULTS: Suturing took 46 s (range 31-63 s) in Group 2 and 775 s (range 585-965 s) in Group 1. Group 2 patients had shorter time for suturing process, less postoperative analgesic requirement, and shorter hospital stay (p < 0.0001, p < 0.01, p < 0.01, respectively). Also there were no bladder, ureteral, rectum or nerve injuries in Group 2.
CONCLUSION: Minimally invasive SSLS is a reliable procedure with less procedural complications, reduced postoperative pain, less hospital stay and shorter operation times.
Melike Doğanay; Orhan Aksakal
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Review     Date:  2012-12-29
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  287     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-05-16     Completed Date:  2014-01-10     Revised Date:  2014-02-27    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1167-72     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Blood Loss, Surgical
Intraoperative Complications / epidemiology*
Length of Stay
Middle Aged
Perioperative Period
Postoperative Complications / epidemiology*
Prospective Studies
Surgical Procedures, Minimally Invasive / adverse effects*,  instrumentation,  methods
Suture Techniques / instrumentation
Time Factors
Treatment Outcome
Uterine Prolapse / surgery*
Comment In:
Arch Gynecol Obstet. 2014 Feb;289(2):233-4   [PMID:  23934244 ]
Arch Gynecol Obstet. 2014 Feb;289(2):235   [PMID:  23955680 ]

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