E-Posters-Complications in Vaginal Sacrospinous Ligament Fixation

Complications in Vaginal Sacrospinous Ligament Fixation - Humberto Lelevier De Doig Alvear

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This study aimed to assess the complications and outcomes of patients who underwent vaginal sacrospinous ligament fixation for severe prolapse of the pelvic organs. A total of 59 patients were included in the study and were evaluated at one week, one month, and six months after surgery. Complications were classified according to the classification of complications related to native tissue surgeries. The results showed that 83% of the patients underwent unilateral sacrospinous ligament fixation, and 17% had bilateral fixation. The prevalence of complications was highest in the first 48 hours after surgery (42%), followed by 40% at one week, 15% at one month, and 7% at six months. The most common complication was persistent buttock pain. Intraoperative complications were seen in 6% of patients. Recurrence of apical prolapse was observed in two patients after six months, and seven patients experienced anterior vaginal wall prolapse. The study concluded that transvaginal repair with native tissue is a safe and effective procedure for correcting apical prolapse, but there is a wide range of complications associated with these surgeries. It is important to classify and monitor these complications and provide early management to affected patients.

Keywords

vaginal sacrospinous ligament fixation

severe prolapse

complications

outcomes

native tissue surgeries

persistent buttock pain

intraoperative complications

recurrence of apical prolapse

anterior vaginal wall prolapse

transvaginal repair