Clinical study of the sacrospinous ligament suspension using Miya hook in management of pelvic organ prolapse.
- Author:
Chu Yeop HUH
1
;
Se Yong KIM
;
Il Young OH
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Kyung Hee University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Sacrospinous ligament suspension;
Vault prolapse;
Uterine prolapse;
Miya hook
- MeSH:
Buttocks;
Cystocele;
Female;
Hospitalization;
Humans;
Hysterectomy;
Hysterectomy, Vaginal;
Ligaments*;
Parity;
Pelvic Organ Prolapse*;
Prolapse;
Rectocele;
Uterine Prolapse
- From:Korean Journal of Obstetrics and Gynecology
2001;44(11):2068-2072
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To assess the results of the sacrospinous ligament suspension using Miya hook for the treatment of uterovaginal prolapse or vault prolapse following hysterectomy. METHODS: Between October 1997 and December 2000, in Kyung Hee Medical Center, 50 pelvic organ prolapse patients underwent vaginal hysterectomy and sacrospinous ligament suspension or sacrospinous ligament suspension only. We evaluated age, parity, operation time, recovery time, duration of hospitalization, change of Hemoglobin level, number of vaginal delivery, type of prolapse, and complications. RESULTS: Forty-four patients (88%) had uterine prolapse and six patients (12%) had vaginal vault prolapse. All patients underwent sacrospinous suspension and anterior-posterior colporraphy in which forty-one patients (82%) underwent concomitant vaginal hysterectomy. There has been one failure case. And then repeat sacrospinous ligament suspension with anterior and posterior vaginal repair was performed successfully. Recurrent prolapse hasn't been developed yet. Most common problems were transient voiding difficulty and vague buttock pain. CONCLUSION: The sacrospinous ligament suspension is considered to be effective and safe in the treatment of vault and uterine prolapse. It avoids major abdominal surgery and allows the surgeon to correct coexistent cystocele and rectocele.
