Khan Ayesha, Jaleel Riffat, Nasrullah Farah Deeba
Prof. Ayesha Khan, FRCOG. Professor & Head of Department, Department of Obstetrics & Gynaecology, Unit I, Dow University of Health Sciences, Karachi, Pakistan.
Dr. Riffat Jaleel, FCPS. Associate Professor, Dow Medical College & Civil Hospital Karachi, Department of Obstetrics & Gynaecology, Unit I, Dow University of Health Sciences, Karachi, Pakistan.
Pak J Med Sci. 2016 Sep-Oct;32(5):1174-1178. doi: 10.12669/pjms.325.10307.
To assess the outcome and safety of sacrohysteropexy as uterus conserving surgery for pelvic organ prolapse in young women and to assess patients' satisfaction with the procedure.
This is a case series of patients operated at Sind Government Lyari General Hospital and Civil Hospital Karachi, between January, 2007 to October, 2015. Data of the patients who had sacrohysteropexy were reviewed. Complications during surgery and post-operative period including haemorrhage, visceral injury, paralytic ileus and peritonitis were studied. Success of procedure, need of blood transfusion, hospital stay and condition on discharge and six weeks follow-up were noted. Data were analyzed using SPSS version 16. Mean ± SD was calculated for numerical, while frequencies were computed for categorical variables.
Data of 60 patients were reviewed. Early post-operative success was 100%. Duration of surgery was less than two hours in 57 (95%) patients. Blood loss was negligible in majority of cases. Out of all 60 cases, 52 (86.7%) did not suffer any complication. One patient had ureteric injury, while one patient sustained bowel injury. Two patients had paralytic ileus. Four patients suffered from abdominal wound infection. All patients were managed satisfactorily. Mean duration of stay in hospital was four days. Upon follow up 96.7% patients were satisfied with results of operative procedure. Sixteen (26.7%) patients complained of backache on follow-up visit.
This review concludes that sacrohysteropexy was successful in all cases in early post-operative period. It is a safe procedure and should be considered as an option for the treatment of pelvic organ prolapse in young women, in whom uterine conservation is required.
评估骶骨子宫固定术作为年轻女性盆腔器官脱垂子宫保留手术的疗效和安全性，并评估患者对该手术的满意度。
这是一组于2007年1月至2015年10月在信德省政府利亚里综合医院和卡拉奇市民医院接受手术的患者病例系列。回顾了接受骶骨子宫固定术患者的数据。研究了手术期间和术后的并发症，包括出血、内脏损伤、麻痹性肠梗阻和腹膜炎。记录手术成功率、输血需求、住院时间、出院时状况及六周随访情况。使用SPSS 16版软件进行数据分析。数值计算采用均值±标准差，分类变量计算频率。
回顾了60例患者的数据。术后早期成功率为100%。57例（95%）患者手术时间少于两小时。大多数病例失血可忽略不计。60例患者中，52例（86.7%）未发生任何并发症。1例患者发生输尿管损伤，1例患者发生肠损伤。2例患者出现麻痹性肠梗阻。4例患者发生腹部伤口感染。所有患者均得到满意处理。平均住院时间为四天。随访时96.7%的患者对手术结果满意。16例（26.7%）患者随访时抱怨背痛。
本综述得出结论，骶骨子宫固定术在术后早期所有病例中均成功。这是一种安全的手术方法，对于需要保留子宫的年轻女性盆腔器官脱垂治疗应考虑作为一种选择。
