[Sacrospinous colpopexy complications].
OBJECTIVE
To evaluate complications of sacrospinous ligament fixation.


METHODS
Monocentric retrospective study.


METHODS
Department of Obstetrics & Gynecology, La Conception University Hospital, Marcella.


METHODS
Between January 1991 and September 2002, 277 women (mean age 64.9 years, range 37 to 92 years) underwent a sacrospinous ligament fixation; 91% had a menopausal status, and 15.5% used hormone replacement therapy. 33.2% of the patients had prior hysterectomy, 28.9% had a history of surgery for prolapse, and 18.8% had associated symptoms of stress urinary incontinence. In all cases, sacrospinous ligament fixation was performed under visual control using conventional stitch. Sacrospinous ligament fixation was combined with the following procedures: anterior vaginal repair (N =137), additional incontinence surgery (N =31), vaginal hysterectomy (N =137), levator myorraphy (N =203).


METHODS
Intraoperative complications, postoperative complications, long-term painful symptoms.


RESULTS
Intraoperative complications were represented by 1 case of vascular wound and four rectal injuries. Main postoperative complications were vaginal haematomas (N =6) and abscesses (N =2). Long-term symptoms were perineal pain, sciatic neuralgia, and dyspareunia.


CONCLUSIONS
There was no surgical mortality, and we noted low rates of major complications. Sacrospinous ligament fixation assumes high priority in our therapeutic regimen.
Estrade
J-P
JP
Service de gynécologie-obstétrique, hôpital Pellegrin, place Amélie-Raba-Léon, 33000 Bordeaux, France.
Agostini
A
A
Roger
V
V
Dallay
D
D
Blanc
B
B
Cravello
L
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D007431:Intraoperative Complications; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012447:Sacrum; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*