Demirci Fuat, Ozdemir Ismail, Somunkiran Asli, Topuz Samet, Iyibozkurt Cem, Duras Doyran Gonul, Kemik Gul Ozlem, Gul Baris
Department of Obstetrics and Gynecology, Duzce Medical Faculty, Abant Izzet Baysal University, Duzce, Turkey.
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Mar;18(3):257-61. doi: 10.1007/s00192-006-0134-6. Epub 2006 May 11.
This study assessed perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures. Perioperative complications were defined as any complication occurring during surgery or the first 6 weeks postoperatively. Forty-five patients underwent abdominal procedures (20 sacrohysteropexy and 25 sacrocolpopexy) and 60 patients underwent vaginal sacrospinous fixation. Of the 105 patients, 13 had vaginal vault prolapse. In the abdominal group, one bladder injury, four hemorrhages, and three wound dehiscences occurred. In the vaginal group, one rectal injury and one postoperative vaginal vault infection occurred. Major and minor complications were more frequent in the abdominal group than in the vaginal group. Blood loss was not significantly different. The operating time and hospital stay in the abdominal group were significantly longer than in the vaginal group. In conclusion, abdominal sacrocolpopexy had a higher rate of perioperative complications and longer hospital stay and operating time.
本研究评估了腹式骶骨阴道固定术和阴道骶棘韧带固定术的围手术期并发症。围手术期并发症定义为手术期间或术后前6周发生的任何并发症。45例患者接受了腹部手术（20例骶骨子宫固定术和25例腹式骶骨阴道固定术），60例患者接受了阴道骶棘韧带固定术。在这105例患者中，13例有阴道穹窿脱垂。腹部组发生1例膀胱损伤、4例出血和3例伤口裂开。阴道组发生1例直肠损伤和1例术后阴道穹窿感染。腹部组的主要和次要并发症比阴道组更常见。失血量无显著差异。腹部组的手术时间和住院时间明显长于阴道组。总之，腹式骶骨阴道固定术的围手术期并发症发生率更高，住院时间和手术时间更长。
