Modern role of sacrospinous ligament fixation for pelvic organ prolapse surgery--a systemic review.
Pelvic organ prolapse (POP) is a common condition in women. Women with POP often experience pelvic discomfort, urinary and fecal problems, sexual dysfunction, and an overall decrease in their quality of life. Surgical treatment is a feasible option if conservative management fails. Various surgical techniques have been proposed to correct POP with or without the use of graft material. Owing to recent U.S. Food and Drug Administration warnings about mesh-related complications, sacrospinous ligament fixation (SSF), as a traditional vaginal procedure, may play an important role again. To answer this question and evaluate quantitatively the efficacy of SSF in POP, we conducted a systemic review of the available data about SSF and POP. Interventions had to include SSF as a point of attachment. To eliminate confounding bias and effect modification, at least one arm must include SSF without mesh or graft. All follow-up periods were allowed. Information on the following parameters was extracted and entered into a database: study design, type of intervention, number of patients, follow-up in months, cure rate, recurrence rate, intra/postoperative complications, and/or uni/bilateral, preventive/therapeutic, or concomitant procedures. Published papers from the years 1995 to 2011 were selected for analysis.
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital Lin-Kou Branch and University of Chang Gung School of Medicine, Kwei-Shan, Tao-Yuan, Taiwan.
Ling-Hong
LH
Tseng
Ilene
I
Chen
Shuenn-Dyh
SD
Chang
Chyi-Long
CL
Lee
D005260:Female; D006801:Humans; D013509:Gynecologic Surgical Procedures / Q000379:methods; D008022:Ligaments / Q000601:surgery; D056887:Pelvic Organ Prolapse / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods
pelvic organ prolapse; pelvic reconstruction surgery; sacrospinous ligament fixation; systemic review