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Balci technique for suspending vaginal vault at vaginal hysterectomy with reduced risk of vaginal vault prolapse
Aim: The aim of this study was to evaluate the efficacy of a new technique of suspending the vaginal vault at vaginal hysterectomy (VH) for total uterine prolapse. Material and Methods: This prospective study included 65 patients (group 1) in whom VH was performed using the new technique and 110 p...
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| Published in: | The journal of obstetrics and gynaecology research 2011-07, Vol.37 (7), p.762-769 |
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| Main Authors: | , , , |
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| cited_by | cdi_FETCH-LOGICAL-c4300-7aaa58d833e8e2c916032e4c55e0447c68850bb93da0e463a23230abc36558603 |
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| cites | cdi_FETCH-LOGICAL-c4300-7aaa58d833e8e2c916032e4c55e0447c68850bb93da0e463a23230abc36558603 |
| container_end_page | 769 |
| container_issue | 7 |
| container_start_page | 762 |
| container_title | The journal of obstetrics and gynaecology research |
| container_volume | 37 |
| creator | Balci, Osman Capar, Metin Acar, Ali Colakoglu, Mehmet Cengiz |
| description | Aim: The aim of this study was to evaluate the efficacy of a new technique of suspending the vaginal vault at vaginal hysterectomy (VH) for total uterine prolapse.
Material and Methods: This prospective study included 65 patients (group 1) in whom VH was performed using the new technique and 110 patients (group 2) in whom VH was performed using the traditional method. Both groups were followed up for 4 years. The incidences of vaginal vault prolapse (VVP), total vaginal length (TVL) (location of vaginal cuff), intraoperative and postoperative complications and sexual function were compared.
Results: There were no statistically significant differences between the two groups regarding age, parity, body mass index (BMI), blood loss, intraoperative and postoperative complications, and sexual function. One (1.5%) patient had VVP in group 1, whereas 12 (10.9%) patients had VVP in group 2. TVL in group 1 was 8.9 ± 1.2 cm while in group 2 it was 5.9 ± 0.8 cm. The operation times were 57 ± 5 min and 76 ± 9 min in group 1 and group 2, respectively. There was a statistically significant difference between the two groups regarding VVP (P = 0.022), TVL (P |
| doi_str_mv | 10.1111/j.1447-0756.2010.01430.x |
| format | article |
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Material and Methods: This prospective study included 65 patients (group 1) in whom VH was performed using the new technique and 110 patients (group 2) in whom VH was performed using the traditional method. Both groups were followed up for 4 years. The incidences of vaginal vault prolapse (VVP), total vaginal length (TVL) (location of vaginal cuff), intraoperative and postoperative complications and sexual function were compared.
Results: There were no statistically significant differences between the two groups regarding age, parity, body mass index (BMI), blood loss, intraoperative and postoperative complications, and sexual function. One (1.5%) patient had VVP in group 1, whereas 12 (10.9%) patients had VVP in group 2. TVL in group 1 was 8.9 ± 1.2 cm while in group 2 it was 5.9 ± 0.8 cm. The operation times were 57 ± 5 min and 76 ± 9 min in group 1 and group 2, respectively. There was a statistically significant difference between the two groups regarding VVP (P = 0.022), TVL (P < 0.001) and operation time (P < 0.001). The two groups were also compared regarding anterior and posterior prolapse after 4 years: group 1 had less anterior and posterior prolapse (stage II or more) than group 2 (P = 0.041, P = 0.047), respectively.
Conclusion: In this new technique, compared to the traditional technique, there was a lower incidence of VVP, greater TVL was achieved and the duration of the operation was shorter.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/j.1447-0756.2010.01430.x</identifier><identifier>PMID: 21395901</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Balci technique ; Female ; Follow-Up Studies ; Humans ; Hysterectomy, Vaginal - adverse effects ; Hysterectomy, Vaginal - methods ; Incidence ; Middle Aged ; Pelvic Organ Prolapse - epidemiology ; Pelvic Organ Prolapse - prevention & control ; Risk ; total vaginal length ; Turkey - epidemiology ; Uterine Prolapse - surgery ; vaginal hysterectomy ; vaginal vault prolapse</subject><ispartof>The journal of obstetrics and gynaecology research, 2011-07, Vol.37 (7), p.762-769</ispartof><rights>2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology</rights><rights>2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4300-7aaa58d833e8e2c916032e4c55e0447c68850bb93da0e463a23230abc36558603</citedby><cites>FETCH-LOGICAL-c4300-7aaa58d833e8e2c916032e4c55e0447c68850bb93da0e463a23230abc36558603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21395901$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Balci, Osman</creatorcontrib><creatorcontrib>Capar, Metin</creatorcontrib><creatorcontrib>Acar, Ali</creatorcontrib><creatorcontrib>Colakoglu, Mehmet Cengiz</creatorcontrib><title>Balci technique for suspending vaginal vault at vaginal hysterectomy with reduced risk of vaginal vault prolapse</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Aim: The aim of this study was to evaluate the efficacy of a new technique of suspending the vaginal vault at vaginal hysterectomy (VH) for total uterine prolapse.
Material and Methods: This prospective study included 65 patients (group 1) in whom VH was performed using the new technique and 110 patients (group 2) in whom VH was performed using the traditional method. Both groups were followed up for 4 years. The incidences of vaginal vault prolapse (VVP), total vaginal length (TVL) (location of vaginal cuff), intraoperative and postoperative complications and sexual function were compared.
Results: There were no statistically significant differences between the two groups regarding age, parity, body mass index (BMI), blood loss, intraoperative and postoperative complications, and sexual function. One (1.5%) patient had VVP in group 1, whereas 12 (10.9%) patients had VVP in group 2. TVL in group 1 was 8.9 ± 1.2 cm while in group 2 it was 5.9 ± 0.8 cm. The operation times were 57 ± 5 min and 76 ± 9 min in group 1 and group 2, respectively. There was a statistically significant difference between the two groups regarding VVP (P = 0.022), TVL (P < 0.001) and operation time (P < 0.001). The two groups were also compared regarding anterior and posterior prolapse after 4 years: group 1 had less anterior and posterior prolapse (stage II or more) than group 2 (P = 0.041, P = 0.047), respectively.
Conclusion: In this new technique, compared to the traditional technique, there was a lower incidence of VVP, greater TVL was achieved and the duration of the operation was shorter.</description><subject>Adult</subject><subject>Balci technique</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hysterectomy, Vaginal - adverse effects</subject><subject>Hysterectomy, Vaginal - methods</subject><subject>Incidence</subject><subject>Middle Aged</subject><subject>Pelvic Organ Prolapse - epidemiology</subject><subject>Pelvic Organ Prolapse - prevention & control</subject><subject>Risk</subject><subject>total vaginal length</subject><subject>Turkey - epidemiology</subject><subject>Uterine Prolapse - surgery</subject><subject>vaginal hysterectomy</subject><subject>vaginal vault prolapse</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqNkEFT2zAQhTUdOkApf6GjW09OV5JlyYceClNCO6FwoHDUKPKGKDi2K9mQ_PvKDeTQE7rszuq93XkfIZTBhKX3ZTVhea4yULKYcEhTYLmAyeYdOd5_HKRe5CzToIoj8iHGFQBTJdOH5IgzUcoS2DHpzmztPO3RLRv_Z0C6aAONQ-ywqXzzQJ_sg29snepQ99T2-8FyG3sM6Pp2vaXPvl_SgNXgsKLBx0faLv6zdqGtbRfxI3m_sHXE05d6Qn5ffL89v8xm19Mf599mmUtJIFPWWqkrLQRq5K5kBQiOuZMSISV0hdYS5vNSVBYwL4TlgguwcycKKXUSn5DPu73pcMoVe7P20WFd2wbbIRqtpOKcg05KvVO60MYYcGG64Nc2bA0DM-I2KzNSNSNVM-I2_3CbTbJ-ejkyzNdY7Y2vfJPg607w7Gvcvnmx-Xk9Hbvkz3Z-n2hv9n4bHk2hhJLm_tfUFPzm6k5e3JiZ-Av-K54-</recordid><startdate>201107</startdate><enddate>201107</enddate><creator>Balci, Osman</creator><creator>Capar, Metin</creator><creator>Acar, Ali</creator><creator>Colakoglu, Mehmet Cengiz</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201107</creationdate><title>Balci technique for suspending vaginal vault at vaginal hysterectomy with reduced risk of vaginal vault prolapse</title><author>Balci, Osman ; Capar, Metin ; Acar, Ali ; Colakoglu, Mehmet Cengiz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4300-7aaa58d833e8e2c916032e4c55e0447c68850bb93da0e463a23230abc36558603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Balci technique</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hysterectomy, Vaginal - adverse effects</topic><topic>Hysterectomy, Vaginal - methods</topic><topic>Incidence</topic><topic>Middle Aged</topic><topic>Pelvic Organ Prolapse - epidemiology</topic><topic>Pelvic Organ Prolapse - prevention & control</topic><topic>Risk</topic><topic>total vaginal length</topic><topic>Turkey - epidemiology</topic><topic>Uterine Prolapse - surgery</topic><topic>vaginal hysterectomy</topic><topic>vaginal vault prolapse</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Balci, Osman</creatorcontrib><creatorcontrib>Capar, Metin</creatorcontrib><creatorcontrib>Acar, Ali</creatorcontrib><creatorcontrib>Colakoglu, Mehmet Cengiz</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Balci, Osman</au><au>Capar, Metin</au><au>Acar, Ali</au><au>Colakoglu, Mehmet Cengiz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Balci technique for suspending vaginal vault at vaginal hysterectomy with reduced risk of vaginal vault prolapse</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2011-07</date><risdate>2011</risdate><volume>37</volume><issue>7</issue><spage>762</spage><epage>769</epage><pages>762-769</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Aim: The aim of this study was to evaluate the efficacy of a new technique of suspending the vaginal vault at vaginal hysterectomy (VH) for total uterine prolapse.
Material and Methods: This prospective study included 65 patients (group 1) in whom VH was performed using the new technique and 110 patients (group 2) in whom VH was performed using the traditional method. Both groups were followed up for 4 years. The incidences of vaginal vault prolapse (VVP), total vaginal length (TVL) (location of vaginal cuff), intraoperative and postoperative complications and sexual function were compared.
Results: There were no statistically significant differences between the two groups regarding age, parity, body mass index (BMI), blood loss, intraoperative and postoperative complications, and sexual function. One (1.5%) patient had VVP in group 1, whereas 12 (10.9%) patients had VVP in group 2. TVL in group 1 was 8.9 ± 1.2 cm while in group 2 it was 5.9 ± 0.8 cm. The operation times were 57 ± 5 min and 76 ± 9 min in group 1 and group 2, respectively. There was a statistically significant difference between the two groups regarding VVP (P = 0.022), TVL (P < 0.001) and operation time (P < 0.001). The two groups were also compared regarding anterior and posterior prolapse after 4 years: group 1 had less anterior and posterior prolapse (stage II or more) than group 2 (P = 0.041, P = 0.047), respectively.
Conclusion: In this new technique, compared to the traditional technique, there was a lower incidence of VVP, greater TVL was achieved and the duration of the operation was shorter.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>21395901</pmid><doi>10.1111/j.1447-0756.2010.01430.x</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 1341-8076 |
| ispartof | The journal of obstetrics and gynaecology research, 2011-07, Vol.37 (7), p.762-769 |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Balci technique Female Follow-Up Studies Humans Hysterectomy, Vaginal - adverse effects Hysterectomy, Vaginal - methods Incidence Middle Aged Pelvic Organ Prolapse - epidemiology Pelvic Organ Prolapse - prevention & control Risk total vaginal length Turkey - epidemiology Uterine Prolapse - surgery vaginal hysterectomy vaginal vault prolapse |
| title | Balci technique for suspending vaginal vault at vaginal hysterectomy with reduced risk of vaginal vault prolapse |
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