Sacrocolpopexy "gold standard" for vault prolapse

ABSTRACT

To evaluate and compare the efficacy, blood loss, operative time and complications with the use of Prolene thread vs. Rectus Sheath. Cross sectional, analytical study. Department of Obstetrics and Gynaecology Unit-II, Bahawal Victoria Hospital, Bahawalpur from Jan 2000 to Dec 2007 [eight years]. All the cases of vault prolapse during the eight year study period were included and booked from the out patient and emergency department of BVH. A total of 40 cases were divided into two group. Group A having 20 patients who were managed by prolene No.1 and Group B also containing 20 patients managed by rectus sheath. All cases were analyzed regarding their complaints, preceding operations, clinical examination, investigation, treatment and follow-up. Total 40 cases were analyzed. It was found that no recurrence was seeen in Group A [with Prolene Thread]. The blood loss was minimal, operative time range was only 0.5 to 1 hour. It was very economical whereas in Group B, Two patients had recurrence of complaints "Mass coming out of vagina [10%]. Time required to remove rectus sheath strip to complete the procedure of sacrocolpopexy was 1.5 to 2.5 hours in Group B. Blood loss was more in Group B than Group-A. Two patients [10%] had incisional hernia. Equal no of patients in each group had low persistant backache. Sacrocolpopexy is gold standard procedure for the treatment of vault prolapse. If it is performed with the help of prolene, give excellent results: