Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Sacrospinous ligament fixation surgical outcoms after hysterectomy for apical support in a local population at a tertiary hospital - a retrospective descriptive study
Thesis (MMed) -- Stellenbosch University, 2024.
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | en_ZA |
| Published: |
Stellenbosch : Stellenbosch University
2024
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613781134147584 |
|---|---|
| access_status_str | Open Access |
| author | Mokete, Gaone Gosego |
| author2 | Van Rensburg, Jacobus Albertus |
| author_browse | Mokete, Gaone Gosego Van Rensburg, Jacobus Albertus |
| author_facet | Van Rensburg, Jacobus Albertus Mokete, Gaone Gosego |
| author_sort | Mokete, Gaone Gosego |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed) -- Stellenbosch University, 2024. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/130233 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:41:35.993Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/130233 Sacrospinous ligament fixation surgical outcoms after hysterectomy for apical support in a local population at a tertiary hospital - a retrospective descriptive study Mokete, Gaone Gosego Van Rensburg, Jacobus Albertus Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. Obstetrics and Gynaecology. Generative organs, Female -- Surgery Urinary incontinence -- Treatment Uterus -- Prolapse Pelvis -- Surgery UCTD Thesis (MMed) -- Stellenbosch University, 2024. ENGLISH SUMMARY: Introduction: Sacrospinous ligament fixation (SSLF) is a surgical procedure designed to restore support of the uterus or vaginal vault, often performed post hysterectomy. It involves attaching upper most lateral aspect of the vaginal vault to the sacrospinous ligament. Complications can include 5-10% failure rate, <1% risk of bleeding requiring blood transfusion, <1% risk of deep venous thrombosis and 1-5% risk of urinary tract infections, as well as potential dyspareunia. However, there is limited research on SSLF success and failure rate in the local population. Aims and Objectives: This study aimed to evaluate the surgical outcomes of sacrospinous ligament fixation for level 1 and apical support of the vagina in pelvic organ prolapse (POP) repair. Methods: A Retrospective chart review was conducted on 86 women with pelvic organ prolapse who underwent clinical examination and sacrospinous ligament fixation after hysterectomy at Tygerberg Hospital between January 2014 and December 2019. POP was clinically evaluated and graded using POP-Q system. Preoperative and postoperative clinical assessment included the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Retrospective data analysis extended up to 3 years post-operation. Microsoft™ Excel software was used for data entry, cleaning and analysis. Results: Patient ages ranged from 38 to 79 years with a mean of 59 years. Eighty percent of patients were overweight or obese, and 75% had parity between 2 and 5. Symptomatic POP was present in 97% of cases, with grade 3 and 4 POP accounting for 93% of the diagnoses. Initial surgery resulted in no recurrence in 88% of patients. Site specification for SSLF was lacking in 23.2% of cases, without reasons provided for the omission. The PGI-I combined with post operation ICIQ-SF revealed that ninety-six percent of patients reported 100% satisfaction with treatment while clinical evaluation showed that anatomical success was achieved in 87.2% of the cases. Complications related to the surgery were reported by only 3.6% of patients. Regarding incontinence, 49% experienced improvement, 9% reported no change in symptoms ,1% had new symptoms, and 40% remained incontinent before and after the operation. Conclusion: SSLF demonstrated excellent anatomical support and high patient satisfaction rates. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2024-03-06T08:25:05Z 2024-04-26T10:09:07Z 2024-03-06T08:25:05Z 2024-04-26T10:09:07Z 2024-03 Thesis https://scholar.sun.ac.za/handle/10019.1/130233 en_ZA Stellenbosch University 55 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Generative organs, Female -- Surgery Urinary incontinence -- Treatment Uterus -- Prolapse Pelvis -- Surgery UCTD Mokete, Gaone Gosego Sacrospinous ligament fixation surgical outcoms after hysterectomy for apical support in a local population at a tertiary hospital - a retrospective descriptive study |
| title | Sacrospinous ligament fixation surgical outcoms after hysterectomy for apical support in a local population at a tertiary hospital - a retrospective descriptive study |
| title_full | Sacrospinous ligament fixation surgical outcoms after hysterectomy for apical support in a local population at a tertiary hospital - a retrospective descriptive study |
| title_fullStr | Sacrospinous ligament fixation surgical outcoms after hysterectomy for apical support in a local population at a tertiary hospital - a retrospective descriptive study |
| title_full_unstemmed | Sacrospinous ligament fixation surgical outcoms after hysterectomy for apical support in a local population at a tertiary hospital - a retrospective descriptive study |
| title_short | Sacrospinous ligament fixation surgical outcoms after hysterectomy for apical support in a local population at a tertiary hospital - a retrospective descriptive study |
| title_sort | sacrospinous ligament fixation surgical outcoms after hysterectomy for apical support in a local population at a tertiary hospital a retrospective descriptive study |
| topic | Generative organs, Female -- Surgery Urinary incontinence -- Treatment Uterus -- Prolapse Pelvis -- Surgery UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/130233 |
| work_keys_str_mv | AT moketegaonegosego sacrospinousligamentfixationsurgicaloutcomsafterhysterectomyforapicalsupportinalocalpopulationatatertiaryhospitalaretrospectivedescriptivestudy |