title: Minimally invasive sacrospinous ligament suspension: perioperative morbidity and review of the literature.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  Minimally invasive SSLS is a reliable procedure with less procedural complications, reduced postoperative pain, less hospital stay and shorter operation times.
authors.affiliation: Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey. drmdoganay@gmail.com
authors.forename: Melike
authors.initials: M
authors.lastname: Doğanay
authors.forename: Orhan
authors.initials: O
authors.lastname: Aksakal
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology*; D007902:Length of Stay; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D009017:Morbidity; D059035:Perioperative Period; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D013536:Suture Techniques / Q000295:instrumentation; D013997:Time Factors; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*