Lan Zhu1, Jinghe Lang, Qingxia Zhang. 1. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing 100730, China.
Abstract
INTRODUCTION AND HYPOTHESIS: This study aims to introduce a new pelvic reconstructive procedure and assess its safety and efficacy. METHODS: Anatomic dissection was performed on ten Chinese female cadavers. The fascia 1 cm horizontally lateral to the ischial spine was firm and strong with no major vessels or nerves in the area. Thirty-two patients with stage III uterine prolapse underwent ischial spinous fascia fixation procedure. Objective and subjective results were observed in follow-up evaluations. RESULTS: No severe complications were observed. The objective success rate was 94% at 1-year follow-up while two patients (6.3%) showed recurrence. There were significant improvements in Aa, Ba, Ap, Bp, and C (p < 0.001) by pelvic organ prolapse quantification. Two patients suffered from lower back pain and right thigh pain, respectively, while three complained a sensation of a foreign body in the vagina. CONCLUSION: As a treatment of vaginal fornix prolapse, ischial spinous fascia fixation is found to be safe and efficacious.
INTRODUCTION AND HYPOTHESIS: This study aims to introduce a new pelvic reconstructive procedure and assess its safety and efficacy. METHODS: Anatomic dissection was performed on ten Chinese female cadavers. The fascia 1 cm horizontally lateral to the ischial spine was firm and strong with no major vessels or nerves in the area. Thirty-two patients with stage III uterine prolapse underwent ischial spinous fascia fixation procedure. Objective and subjective results were observed in follow-up evaluations. RESULTS: No severe complications were observed. The objective success rate was 94% at 1-year follow-up while two patients (6.3%) showed recurrence. There were significant improvements in Aa, Ba, Ap, Bp, and C (p < 0.001) by pelvic organ prolapse quantification. Two patients suffered from lower back pain and right thigh pain, respectively, while three complained a sensation of a foreign body in the vagina. CONCLUSION: As a treatment of vaginal fornix prolapse, ischial spinous fascia fixation is found to be safe and efficacious.
Authors: R C Bump; A Mattiasson; K Bø; L P Brubaker; J O DeLancey; P Klarskov; B L Shull; A R Smith Journal: Am J Obstet Gynecol Date: 1996-07 Impact factor: 8.661
Authors: Robert E Gutman; Harpreet K Pannu; Geoffrey W Cundiff; Clifford F Melick; Sohail A Siddique; Victoria L Handa Journal: Am J Obstet Gynecol Date: 2005-05 Impact factor: 8.661