Aim: To judge the
results of sacrocolpopexy with synthetic Prolene mesh for the management of
patients of vaginal vault prolapse.
Prospective observational study.
study was conducted in Lady Willingdon Hospital, Lahore from June 2012 to May
2015. Twenty-four women with vault prolapse were included.
surgical technique used in abdominal sacrocolpopexy was described as: the one
end of synthetic Prolene mesh was attached to the vault and the other end to
the anterior longitudinal ligament of the first or second sacral vertebra and
there should be no tension on this mesh. The patients were asked about
improvement in their subjective and objective cure of vault prolapse symptoms.
Their operative and postop complications were noted.
Twenty-four women with vault prolapse were identified. Majority of the women
were in the age group 51-60 years. Regarding marital status and parity, all
were married and belonged to parity P5-9. In all patients, abdominal
sacrocolpopexy wasperformed using Prolene synthetic mesh in a tension free
fashion. Intraoperative and postoperative complications were not observed for
the said procedure. At the time of discharge, patients were asked about improvement
in symptoms and physical examination was performed and none of the patients had
anyvault prolapse or its symptoms.
procedure helps in the maintenance of anatomy and normal axis of the female
reproductive tract and it has no interference with the sexual function. The
success rate of abdominal sacrocolpopexy is best and complications of the
procedure are less.
prolapsed, sacroplexy, synthetic mesh