Pelvik organ prolapsusu için iliokoksigeal fiksasyon prosedürünün değerlendirilmesi: preoperatif özellikler ve kısa dönem postoperatif sonuçlar

Year 2024, , 111 - 116, 30.08.2024

Emre Köle , İlaha Hasanova , Ramazan Oğuz Şahin , Esra Ayanoğlu , Lale Aksoy , Alparslan Deniz , Erdoğan Aslan

https://doi.org/10.30565/medalanya.1521321

Abstract

Amaç: Bu çalışmada; pelvik organ proplapsusu (POP) nedeniyle, cerrahi tedavisi için iliokoksigeal fiksasyon (ICF) uyguladığımız hastaların kısa dönem sonuçlarını araştırmayı ve ICF prosedürünün güvenirliğini ve uygulanabilirliğini değerlendirmeyi amaçladık.

Hastalar ve Yöntemler: Çalışmamız 01.04.2022 ve 31.03.2024 tarihleri arasında kliniğimizde ICF uygulanan 50 POP hastasının verileri retrospektif olarak değerlendirilmiştir. Toplam 44 hasta çalışmada değerlendirme kriterlerine uygun bulundu. Hastaların demografik verileri ile preoperatif ve postoperatif 3. Aydaki klinik verileri değerlendirildi.

Bulgular: Çalışmamızın bulgularına göre, NSD ve CS hastalarında ortanca ameliyat süresi arasındaki fark istatistiksel olarak anlamlıdır ve NSD hastalarında ameliyat süresi daha uzundur (80 dakika (70-85) vs 60 dakika (50 -67,5), (p<0,05)). Sadece bir rekürrens, bir hematom ve enfeksiyon ve bir mesane yaralanması meydana geldi.

Sonuç: Çalışmamıza göre, ICF güvenli, dayanıklı ve diğer prosedürlerle birlikte yapılabilen cerrahi olarak uygulanabilir bir prosedürdür. Bu nedenle, SSLF' nin birçok ciddi komplikasyonunu önlediği için ideal yöntem bulunana kadar bu prosedürü şiddetle savunuyoruz.

Keywords

pelvik organ prolapsusu, sakrospinöz ligament fiksasyonu, iliokoksigeal fiksasyon

Evaluation of iliococcygeal fixation procedure for pelvic organ prolapse: preoperative properties and short term postoperative outcomes

Abstract

Aim: The aim of this study was to evaluate the short-term outcomes of patients who underwent iliococcygeal fixation (ICF) for the surgical treatment of pelvic organ prolapse (POP) and to assess the safety and feasibility of the ICF procedure.

Patients and Methods: Our study is retrospectively done with the data of 50 POP patients who underwent ICF in our clinic within the dates 01.04.2022 and 31.03.2024. A total of 44 women were found to be eligible for follow-up. Demographic data and pre- and post-operative clinical data at 3 months were assessed.

Results: According to the findings of our study, the difference between the median duration of surgery in NSD and CS patients is statistically significant, and the duration of surgery is longer in NSD patients (80 minutes (70-85) vs 60 minutes (50 -67,5), (p<0,05)). Only one recurrence, one hematoma and infection, and one bladder injury had occurred.

Conclusion: According to our study, ICF is a safe, durable and surgically feasible procedure that can be done concomitantly with other procedures. Thus, we strongly advocate this procedure until the ideal mesh is found since it avoids many serious complications of SSLF.

Keywords

Pelvic organ prolapse, sacrospinous ligament fixation, iliococcygeal fixation

Ethical Statement

The approval of Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital Clinical Research Ethics Committee (decision dated 12.06.2024 and numbered 174).

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