Uterine conservation surgery by using autologous rectus sheath for patients presenting with uterovaginal prolapse - an experience from Southern Punjab | [Biomedica • 2022]

Author(s):

1. Arif Siddiq: Department of Obstetrics and Gynecology, Post Graduate Medical Institute, Ameer Ud Deen Medical College, Lahore General Hospital, Lahore, Pakistan.

2. Shazia Jang Sher: Department of Obstetrics and Gynecology, Post Graduate Medical Institute, Ameer Ud Deen Medical College, Lahore General Hospital, Lahore, Pakistan.

3. Rabia Nafees: Department of Obstetrics and Gynecology, Post Graduate Medical Institute, Ameer Ud Deen Medical College, Lahore General Hospital, Lahore, Pakistan.

4. Zahra Safdar: Department of Obstetrics and Gynecology, Post Graduate Medical Institute, Ameer Ud Deen Medical College, Lahore General Hospital, Lahore, Pakistan.

5. Tanvir Jahan: Department of Obstetrics and Gynecology, Post Graduate Medical Institute, Ameer Ud Deen Medical College, Lahore General Hospital, Lahore, Pakistan.

6. Javed Mirdad Tarar: Department of Obstetrics and Gynecology, Post Graduate Medical Institute, Ameer Ud Deen Medical College, Lahore General Hospital, Lahore, Pakistan.

Abstract:

Background and Objective: The use of autologous rectus sheath as a sling to correct uterovaginal prolapse in the younger age group has promising results. As this is an infrequently performed procedure in our country, hence this study aimed to assess the eefctiveness of using autologous rectus sheath in young patients presenting with uterovaginal prolapse. Methods: A prospective study was conducted at Bakhtawar Amin Trust Teaching Hospital in Multan, Pakistan in which 21 female patients who underwent uterine conservation surgery by using autologous rectus sheath during a period of 2 years were included. All these patients were followed up at 1 week and 6 months after surgery for any recurrence or other complications. Results: The mean age of the patients was 47.09 ± 10.17 years. According to the pelvic organ prolapse quantifcation classification, 38.1% of patients had first degree, while 61.9% of patients had second-degree prolapse. Aeftr surgical correction, only one patient presented with ifrst-degree uterine prolapse during follow-up while no post-surgical complication was reported in the rest of the patients with success rate of the procedure being 97.5%. Conclusion: Uterine conservation sur gery using an autologous rectus sheath as a sling for uterovaginal prolapse is an eefctiv e method of surgery and cost-eefctive technique in women seeking uterine conservation in developing countries.

Page(s): 23-27

DOI: DOI not available

Published: Journal: Biomedica, Volume: 38, Issue: 1, Year: 2022

Keywords:

Uterovaginal prolapse , autologous rectus sheath , sling procedure , uterine conversation surgery

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