Pelvic Organ Prolapse
Conditions
Keywords
Vault Suspension, Mackenrodt ligaments, Uterosacral ligaments
Brief summary
Vaginal vault suspension at time of abdominal hysterectomy using Mackenrodt and uterosacral ligaments.
Detailed description
Hysterectomy is one of the most frequently performed gynecological procedures. Hysterectomy remains an important treatment option for a number of benign and malignant indication. Several other studies have shown that hysterectomy independently increased the incidence of subsequent POP, especially when hysterectomy was performed for POP indication. Some studies even have shown that women after hysterectomy were 50% more likely to report symptoms of pelvic floor disorders. With regard to prolapse of the vaginal apex in particular, it has been hypothesized that the "disruption of the cardinaluterosacral ligament complex" during hysterectomy decreases vaginal support. Therefore, adequate support for the vaginal apex would be an essential component to reduce the incidence of post-hysterectomy apical POP. Our study aims to evaluate novel Mackenrodt Uterosacral double ligament vault suspension technique as a treatment option for pelvic prolapse during total abdominal hysterectomy.
Interventions
PROCEDUREMackenrodt uterosacral double ligaments suspension
Total hysterectomy will be performed and vaginal vault will be closed with absorbable vicryl sutures The pelvis is then inspected and both uterosacral ligaments and ureters are identified. The proximal part of the mid-portion of each ligament is grasped and put under tension. In case of proximity to the ureter, a peritoneal release incision is performed to avoid kinking of the ipsilateral ureter. A Vicryl 1/0 suture is then used and passed through the proximal portion of the ligament approximately 1 cm distal to its sacral origin, in order to avoid entrapment of S3 nerve root. The suture is then passed through the mid portion of the ligament in one or two bites and secured to the posterior vaginal wall.hese steps are repeated in the contralateral ligament. Manchester procedure: Vicryl 1 suture will pass through Mackenrodt ligament and then fixed to the anterior vaginal wall. The suture is repeated on the opposite side ,so both Mackenrodt ligaments will be fixed th anterior vagina
Sponsors
Assiut University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* women undergoing hysterectomy * Stage 1 or more pelvic organ prolapse
Exclusion criteria
* pregnacy or 6 months postpartum * previous suspension surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic organ prolapse Stage | 3 months | Increase stage means bad outcome Minimum: 0 , Maximum:4 |
Countries
Egypt
Contacts
CONTACTMohammed Gamal
PRINCIPAL_INVESTIGATORWomen H Hospital
Women's health hospital
Outcome results
None listed