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Minimally invasive sacrospinous ligament suspension: perioperative morbidity and review of the literature

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

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.

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Abbreviations

SSLS:

Sacrospinous ligament suspension

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Conflict of interest

We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey

    Melike Doğanay & Orhan Aksakal

  2. Cukurambar Mah. 38. Cad., Ozalp Apt. No: 7/39, Yuzuncuyıl, Ankara, Turkey

    Melike Doğanay

Authors
  1. Melike Doğanay
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  2. Orhan Aksakal
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Correspondence to Melike Doğanay.

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Doğanay, M., Aksakal, O. Minimally invasive sacrospinous ligament suspension: perioperative morbidity and review of the literature. Arch Gynecol Obstet 287, 1167–1172 (2013). https://doi.org/10.1007/s00404-012-2687-6

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  • DOI: https://doi.org/10.1007/s00404-012-2687-6

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