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Uncommon complications of sacrospinous fixation for treatment of vaginal vault prolapse.
Silva-Filho, Agnaldo L; Santos-Filho, Admário S; Figueiredo-Netto, Octacílio; Triginelli, Sérgio A.
Afiliação
  • Silva-Filho AL; Department of Gynecology and Obstetrics, Federal University of Minas Gerais School of Medicine, Avenida Pasteur, 89/1310 Santa Efigênia, Belo Horizonte, Brazil. agsilvaf@terra.com.br
Arch Gynecol Obstet ; 271(4): 358-62, 2005 Apr.
Article em En | MEDLINE | ID: mdl-15650835
OBJECTIVE: The present study was undertaken to evaluate uncommon complications following transvaginal sacrospinous colpopexy for treatment of vaginal vault prolapse. CASE REPORTS: A series of three patients who developed uncommon complications following sacrospinous fixation are reported. A 64-year-old patient undergoing bilateral sacrospinous colpopexy for the treatment of an ICS stage III vaginal vault prolapse developed a perineal necrotizing infection. Another patient, a 69-year-old woman with total vaginal vault prolapse and anterior vaginal wall defect (ICS stage II), underwent a right transvaginal sacrospinous colpopexy and anterior repair, presenting postoperatively with a perineal hernia. The third case consisted of a 71-year-old woman who underwent a right sacrospinous colpopexy with paravaginal repair, rectocele repair, and perineorrhaphy for treatment of an ICS stage III post-hysterectomy vaginal vault prolapse, stage II cystocele secondary to a bilateral paravaginal defect, and a stage II rectocele. Six months later the patient developed a left lateral enterocele, which was successfully repaired with a left sacrospinous ligament fixation. DISCUSSION: Etiological factors and treatment considerations for these uncommon complications of sacrospinous colpopexy are discussed in detail, and prophylactic measures, when applicable, are emphasized.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Procedimentos Cirúrgicos em Ginecologia / Prolapso Uterino Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Aged / Female / Humans / Middle aged Idioma: En Revista: Arch Gynecol Obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2005 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Procedimentos Cirúrgicos em Ginecologia / Prolapso Uterino Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Aged / Female / Humans / Middle aged Idioma: En Revista: Arch Gynecol Obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2005 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha