Successful pregnancies and vaginal deliveries after sacrospinous uterosacral fixation in five of nineteen patients

Article Abstract:

Women treated for uterine prolapse by attaching the ligaments supporting the uterus to the sacrospinous ligament were able to later bear children and deliver vaginally. Uterine prolapse occurs when the uterus slides from its normal position. The sacrospinous ligament attaches the end of the backbone to the pelvis. Nineteen women with uterine prolapse had sacrospinous fixation surgery. All of the patients had severely weakened uterosacral ligaments as determined by pelvic exam prior to surgery. The surgical procedure took approximately 15 minutes and was performed vaginally, without abdominal incision. The average hospital stay was 2.4 days. Five women were able to become pregnant and deliver vaginally after surgery. One of the five became pregnant twice and delivered vaginally both times. One woman who was unable to become pregnant had a second surgery for prolapse, but has had no problems since. Of the 11 other women who did not become pregnant, none needed additional surgery more than three years after their initial surgery.

Uterus, Uterine prolapse, Ligaments

---

Randomized comparison of three surgical methods used at the time of vaginal hysterectomy to prevent posterior enterocele

Article Abstract:

A McCall-type culdeplasty appears to be the most effective surgical technique for preventing an enterocele in women who have had a vaginal hysterectomy. After a vaginal hysterectomy, part of the rectum can herniate into the vagina because some of the connective tissue that separates the two body parts is removed during the hysterectomy. This herniation is called an enterocele. Compared to peritoneal closure and a vaginal Moschcowitz-type operation, the McCall-type culdeplasty was more effective in preventing enterocele in a study of 100 women who had a vaginal hysterectomy.

Prevention, Complications and side effects, Vagina, Fistula, Vaginal, Vaginal fistula

---

Guidelines to determine the route of oophorectomy with hysterectomy

Article Abstract:

The ability to see the ovaries and move them down appear to be the primary criteria for removal of the ovaries during a hysterectomy using the transvaginal approach. The ovaries may be successfully removed by the vaginal route in most patients. In a group of 966 women having a hysterectomy via the vaginal route, 30% of them had the ovaries removed as well. Moreover, in 99.9% of cases overall, the ovaries could be visualized and brought down to where they could have been removed vaginally. Vaginal hysterectomy reduces the incidence of injuries to the ureters.

Laparoscopic surgery, Ovariectomy

Similar abstracts:

• Abstracts: Hemodynamic and fluid responses to furosemide infusion in the ovine fetus. Regulation of amniotic fluid volume by intramembranous absorption in sheep: role of passive permeability and vascular endothelial growth factor
• Abstracts: Gestational diabetes alters human placental vascular responses to changes in oxygen tension. A comparison opf rapid amniotic fluid markers in the prediction of microbial invasion of the uterine cavity and preterm delivery
• Abstracts: Surveillance of HIV infection and zidovudine use among health care workers after occupational exposure to HIV-infected blood
• Abstracts: Market mania spurs drop in hospital inpatient Medicare costs. Advisory group urges HCFA to plug gaps in RBRVS
• Abstracts: Pencils: a lead end. Controversial ruling in Florida: splitting fees or splitting hairs?

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.