SACROHYSTEROPEXY WITH PROLENE – I FOR THE MANAGEMENT OF UTEROVAGINAL PROLAPSE

Sacrohysteropexy

Abstract

A descriptive study was carried out in the gynae department of Military hospital Rawalpindi to observe the results of sacrohysteropexy using Prolene-1 suture in patiens with major uterovaginal prolapse. The duration of study was from January to August 2004. Patients with major uterovaginal prolapse were selected by convenient sampling and underwent sacrohysteropexy using Prolene-1 suture to anchor the uterus to the anterior longitudinal ligament of first or second sacral vertebra in a tension free fashion. All operations were performed by the same surgeon. The study included 30 patients who underwent surgery. The results revealed both subjective and objective improvement of symptoms in short term outcome. None of the patients had any intra or post operative complications. None of the patients required any blood transfusion. The duration of the surgery was short ranging from 15- 20 minutes. We concluded the sacrohysteropexy using prolene-l suture an effective, simple and safe surgical procedure for the management of major prolapse as an alternative to vaginal hysterectomy especiallyPelvic organespecially in elderly patients where longer surgical procedures need to be avoided.