Modified Extraperitoneal Uterosacral Ligament Suspension, Vault Prolapse, Vaginal
Conditions
Keywords
Vaginal Hysterectomy
Brief summary
Introduction : The extraperitoneal uterosacral ligament suspension (ULS) can be performed during the removal of the uterus in vaginal hysterectomy to prevent cuff prolapse. In this study, the modified extraperitoneal ULS technique was evaluated in terms of preventing cuff prolapse. Methods / Technique : Forty patients with second and third-stage uterine prolapse who were operated were included in the study. During routine vaginal hysterectomy procedure performed on patients, after sacrouterine ligaments which are the first-bites and uteroovarian and round ligaments which are the last-bites have been sutured and knotted, these ligaments were marked with 4-distinct clemps to make the right and left, upper and lower separation. After vaginal cuff was closed the sutures hanged by the clamps were ligated together, and the cuff tissue was stretched to the apical line.
Interventions
None listed
Sponsors
Kanuni Sultan Suleyman Training and Research Hospital
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Stage 2 or 3 uterin prolapse
Exclusion criteria
* contrandication for surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative vaginal cuff prolapse | 2 years | During two years follow up after sugery if there is vaginal cuff prolapse or not. The measurement of the vaginal cuff distance to the hymenal ring with a calculator. The units were centimeter |
Outcome results
None listed