Perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures.
This study assessed perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures. Perioperative complications were defined as any complication occurring during surgery or the first 6 weeks postoperatively. Forty-five patients underwent abdominal procedures (20 sacrohysteropexy and 25 sacrocolpopexy) and 60 patients underwent vaginal sacrospinous fixation. Of the 105 patients, 13 had vaginal vault prolapse. In the abdominal group, one bladder injury, four hemorrhages, and three wound dehiscences occurred. In the vaginal group, one rectal injury and one postoperative vaginal vault infection occurred. Major and minor complications were more frequent in the abdominal group than in the vaginal group. Blood loss was not significantly different. The operating time and hospital stay in the abdominal group were significantly longer than in the vaginal group. In conclusion, abdominal sacrocolpopexy had a higher rate of perioperative complications and longer hospital stay and operating time.
Demirci
Fuat
F
Department of Obstetrics and Gynecology, Duzce Medical Faculty, Abant Izzet Baysal University, Duzce, Turkey. fuatdemirci@superonline.com
Ozdemir
Ismail
I
Somunkiran
Asli
A
Topuz
Samet
S
Iyibozkurt
Cem
C
Duras Doyran
Gonul
G
Kemik Gul
Ozlem
O
Gul
Baris
B