title: Perioperative complications in abdominal sacrocolpopexy, sacrospinous ligament fixation and prolift procedures.
abstract: BACKGROUND
  Pelvic organ prolapse is an important problem for women. To overcome this issue, different operational technics are in use, such as abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure.
  
  
  OBJECTIVE
  This study assessed perioperative complications in abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure.
  
  
  METHODS
  Retrospective comparative study.
  
  
  METHODS
  Perioperative complications were defined as any complication occurring during surgery or the first 6 weeks postoperatively. Forty-five patients underwent abdominal procedures, 60 patients underwent sacrospinous fixation, and 43 patients underwent the total Prolift procedure.
  
  
  RESULTS
  In the abdominal group, one bladder injury, four hemorrhages, and three wound dehiscences occurred. In the sacrospinous group, one rectal injury and one postoperative vault infection occurred. In the Prolift group, one bladder injury and one hemorrhage occurred. Minor complications were more frequent in the abdominal group than the others. The operating time and hospital stay of the abdominal group were significantly longer than the others. The Pro-lift procedure had less operating time and hospital stay than other procedures.
  
  
  CONCLUSIONS
  The total Prolift may be a novel alternative for apical prolapse with low perioperative morbidities and complications.
authors.affiliation: Department of Obstetrics and Gynecology, Kadiköy Şifa Hospital, İstanbul, Turkey.
authors.forename: Fuat
authors.initials: F
authors.lastname: Demirci
authors.affiliation: Department of Obstetrics and Gynecology, Zeynep Kamil Women and Children Education and Research Hospital, İstanbul, Turkey.
authors.forename: Oya
authors.initials: O
authors.lastname: Demirci
authors.affiliation: Department of Obstetrics and Gynecology, Yakacık Maternity and Children Hospital, İstanbul, Turkey.
authors.forename: Zehra Nihal
authors.initials: ZN
authors.lastname: Dolgun
authors.affiliation: Department of Obstetrics and Gynecology, Kadiköy Şifa Hospital, İstanbul, Turkey.
authors.forename: Birgül
authors.initials: B
authors.lastname: Karakoç
authors.affiliation: Department of Obstetrics and Gynecology, Zeynep Kamil Women and Children Education and Research Hospital, İstanbul, Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Demirci
authors.affiliation: Department of Obstetrics and Gynecology, Yeditepe University Faculty of Medicine, İstanbul, Turkey.
authors.forename: Aslı
authors.initials: A
authors.lastname: Somunkıran
authors.affiliation: Department of Obstetrics and Gynecology, İstanbul University Faculty of Medicine, İstanbul, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Iyibozkurt
authors.affiliation: Department of Obstetrics and Gynecology, Göztepe Education and Research Hospital, İstanbul, Turkey.
authors.forename: Erhan
authors.initials: E
authors.lastname: Karaalp
keywords: Pelvic organ prolapse; Prolift; sacrocolpopexy; sacrospinous fixation