Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Sacrospinous ligament fixation for massive genital prolapse in women aged over 80 years
Autore:
Nieminen, K; Heinonen, PK;
Indirizzi:
Tampere Univ Hosp, Dept Obstet & Gynaecol, FIN-33521 Tampere, Finland Tampere Univ Hosp Tampere Finland FIN-33521 , FIN-33521 Tampere, Finland Univ Tampere, Sch Med, FIN-33101 Tampere, Finland Univ Tampere Tampere Finland FIN-33101 h Med, FIN-33101 Tampere, Finland
Titolo Testata:
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
fascicolo: 8, volume: 108, anno: 2001,
pagine: 817 - 821
SICI:
1470-0328(200108)108:8<817:SLFFMG>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
VAGINAL VAULT PROLAPSE; PELVIC ORGAN PROLAPSE; URINARY-INCONTINENCE; COLPOCLEISIS; MANAGEMENT; EVERSION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Nieminen, K Tampere Univ Hosp, Dept Obstet & Gynaecol, POB 2000, FIN-33521Tampere, Finland Tampere Univ Hosp POB 2000 Tampere Finland FIN-33521 Finland
Citazione:
K. Nieminen e P.K. Heinonen, "Sacrospinous ligament fixation for massive genital prolapse in women aged over 80 years", BR J OBST G, 108(8), 2001, pp. 817-821

Abstract

Objective To assess the feasibility of vaginal sacrospinous ligament fixation for women over 80 years of age with massive vaginal vault or uterovaginal prolapse. Design Retrospective observational study with long term follow up. Setting Department of Obstetrics and Gynaecology, Tampere University Hospital, Finland. Sample and Methods The study group consisted of 25 women with a mean (SD) [range] age of 83 (3) [80-93] years: 13 had posthysterectomy vaginal vault prolapse and 12 had massive uterovaginal prolapse. All underwent vaginal sacrospinous ligament fixation with repair of pelvic floor relaxation. Women with uterovaginal prolapse also underwent concomitant vaginal hysterectomy. The long term outcome was assessed in 19 women. The mean follow up period was 33 (31) [2-113] months. Main outcome measures Intra- and post-operative morbidity, mortality and recurrence of prolapse. Results Sixteen of the 25 women (64 %) had no major intra- or post-operative complications. The mean estimated blood loss was 400 (280) mL, and sevenwomen received blood transfusions. Four women (16%) had cardiovascular complications, and one died of pulmonary embolism. All four had a history of vascular disease. One woman had symptomatic recurrence of vault prolapse treated with a vaginal pessary; two women had asymptomatic cystocele and one had an enterocele requiring no treatment. The outcomes were similar for women with or without concurrent vaginal hysterectomy. Conclusion Transvaginal sacrospinous ligament fixation is an effective treatment for massive vaginal vault or uterovaginal prolapse in aged women. Increased blood loss may elevate the risk of cardiovascular complications especially in elderly patients with a history of vascular disease, thus indicating the importance of intraoperative bleeding control.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/08/20 alle ore 15:43:53