title: Vaginal sacrospinous fixation: experience in a district general hospital.
abstract: This is an observational retrospective study, which included 77 patients who underwent sacrospinous fixation (SSF) over a period of 3 years in a district general hospital. Casenotes were reviewed and all patients were invited to attend a further review appointment (14-49 months). The object was to determine short- and long-term success of SSF,particularly in elderly (28% were > or = 70 years), obese (24.7%) and medically compromised (64.9%) patients. Fifty-two patients (67.5%) had previous gynaecological procedures, while the remaining 25 (32.5%) had no previous surgery. Intra- and postoperative complications were 3.9% and 32.5%, respectively. There was considerable relief of patients' symptoms at both short- and long-term followup, while the rate of recurrence of vault prolapse was 10.3%. Our experience suggests that SSF appears to be a safe and effective procedure, especially for those who may constitute surgical or anaesthetic risks. It has a reasonable success rate, good postoperative recovery and acceptable long-term results.
authors.affiliation: Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, King's Lynn, Norfolk, UK. rabeih@elghorori.fsnet.co.uk
authors.forename: M R M
authors.initials: MR
authors.lastname: Elghorori
authors.forename: A A
authors.initials: AA
authors.lastname: Ahmed
authors.forename: M
authors.initials: M
authors.lastname: Sadhukhan
authors.forename: H
authors.initials: H
authors.lastname: Al-Taher
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D014596:Uterine Prolapse / Q000601:surgery*