E-Posters-10167

10167_Hanes

Pdf Summary

This study describes a transvaginal, retroperitoneal sacral colpopexy technique and reports the outcomes of this procedure. The study included 14 patients who underwent the vaginal sacral colpopexy (VSC) procedure and were followed for an average of 22.3 months. The primary outcome of the surgery was defined as the success of the surgery, which included objective parameters such as POP-Q measurements and subjective parameters such as absence of complaints related to vaginal bulge or pressure. The study found that 10 cases achieved optimal apical suspension, one case had mechanical failure resulting from dislodgement of titanium tacks, and one case had a grade 2 posterior compartment failure. Overall, the composite success rate was 82%, with 9 out of 11 patients having excellent results and no patients requiring repeat surgery. The study also reported complications such as incidental cystotomy, incidental proctotomy, and postoperative hematoma. The mean operative time for VSC was 123 minutes, and the estimated operative blood loss was 93 ml. The study highlighted the importance of using the open enterocele as a portal for safe completion of VSC and providing full access to all compartments for customized repair. The authors concluded that VSC is a feasible and safe procedure for the surgical correction of apical prolapse and further studies are warranted to refine the technique and gather more data from multiple surgeons.

Keywords

transvaginal

retroperitoneal

sacral colpopexy

VSC procedure

surgery success

POP-Q measurements

vaginal bulge

complications

operative time

operative blood loss