Sacrohysteropexy with Prolene Mesh in the Management of Uterovaginal Prolapse
Objective: To determine the outcome of abdominal sacrohysteropexy, surgical technique for the management of uterovaginal prolapse using prolene mesh, in terms of success rate. Design: Descriptive Case Series Place and Duration of Study: Obstetric & Gynae Department FGPC Islamabad 6 months from September 2013March 2014. Methodology: It’s a descriptive case series study conducted at Obs & Gynae Department of FGPC Islamabad. 18 patients were admitted from Gynae OPD. These patients had a uterovaginal prolapse from grade 1-3. Informed consent was taken. Abdominal Sacrohysteropexy done with prolene mesh under general anesthesia. Mesh was sutured between anterior longitudinal ligament of sacrum and posterior surface of the uterus. Postoperatively patients were observed for signs of wound infection like fever and gape wound at the end of 7 days. Follow-up period was 6 months and patients were examined for recurrence of prolapse. Results: The mean age of women was 52 years (SD ± 1.1661). Mean parity was 5.166 (SD± 1.38). Among 18 patients, most of the women of our study had 2nd-degree prolapse (n=15, 83.3%). 2 of them had 3rd-degree prolapse (11. 1%). One woman had 1st-degree prolapse (5.6%).Postoperatively fever was not noted in any patient. Gape wound was not seen in any patient. Recurrence was seen in 01 patients (5.56 %). Conclusion: The abdominal sacrohysteropexy is very safe and effective uterus preserving procedure with minimal post-operative complications and recurrence of symptoms. These good results constitute a pressing incentive to pursue abdominal sacrohysteropexy with prolene mesh in women with uterovaginal prolapse in Pakistan.