Late suture site complications of sacrospinous ligament fixation. (November 2019)

• Record Type: Journal Article
• Authors: Hamdy, Mostafa A.; Ahmed, Waleed A. Sayed; Taha, Omima T.; Abolill, Zakia M.; Elshahat, Amal M.; Aboelroose, Ahmed A.
• Is Part Of: European journal of obstetrics, gynecology, and reproductive biology. Volume 242(2019)
• Page Start: 126
• Page End: 130
• Publication Date: 2019-11
• Subjects: POP-Q pelvic organ prolapse quantification system -- SSLF sacrospinous ligament fixation -- QOL quality of life; Quality of life -- Sacrospinous ligament fixation -- Suture- related complications -- Uterovaginal prolapse -- Vaginal erosion; Obstetrics -- Periodicals; Gynecology -- Periodicals; Reproductive health -- Periodicals; Gynecology -- Periodicals; Obstetrics -- Periodicals; Reproduction -- Periodicals; Obstétrique -- Périodiques; Gynécologie -- Périodiques; Reproduction -- Périodiques; Verloskunde; Gynaecologie; Voortplanting (biologie); Gynecology; Obstetrics; Reproduction; Electronic journals; Periodicals; Electronic journals; 618.05
• DOI: 10.1016/j.ejogrb.2019.08.024
• Languages: English
• ISSNs: 0301-2115

Abstract

Abstract: Study objective: To evaluate the late suture- related complications of sacrospinous ligament fixation (SSLF) as a treatment for uterovaginal prolapse and their impact on the quality of life. Design: A prospective cohort study. Settings: The Obstetrics and Gynecology Department of Suez Canal University Hospitals, Ismailia, Egypt from January 2014 to June 2018. Patients: We recruited sixty women with uterovaginal prolapse. Interventions: Patients underwent SSLF using the Capio suture recapturing device with non-absorbable suture material (0 braided Polyester). Postoperative visits were at six weeks then at 6, 12, 18, and 24 months after the procedure. Measurements and main results: Outcome measures were the rate and timing of suture- related and the quality of life using the pelvic floor impact questionnaire-7 at 24 months postoperatively. The mean age of the studied population was 45.7 ± 9.8 years. Suture- related complications occurred in 55% (33/60) of patients, with vaginal discharge the most commonly reported symptom. Most of them presented in the 1 st year after the procedure 72.7% (24/33), and 25% (15/60) had suture removal. However, there was a significant improvement in patients' quality of life. Conclusion: Sacrospinous ligament fixation has a positive impact on the quality of life, yet associated with significant but prominent suture- related complications.