EFFECTIVENESS OF AUTOLOGOUS RECTUS SHEATH SLING ABDOMINAL PROCEDURE FOR UTERO-VAGINAL PROLAPSE

Abstract

Background:

Uterovaginal prolapse is one of the most common presentations among women attending gynecological OPD. Various conservative procedures have been reported in the past, each with advantages and disadvantages.The objective of this study is to assess the effectiveness of autologous rectus sheath sling abdominal procedure for uterovaginal prolapsed

Material and Methods:

The current study was a retrospective observational study carried out at the gynecology department, Indus Hospital Lahore. Consecutive sampling was done to include all patients who had this surgery during 2018-2022. After the surgery, follow up was started from day 10th of surgery, the second follow up was at 1 month after surgery and the last was after 6 months to assess complications of the procedure and effectiveness of procedure. Data were analyzed using SPSS 24.

Results:

In the current study, a total 30 patients were enrolled. The mean age of the patients was 30 (4.12) years. Based on the degree of prolapse, the first degree of prolapse was observed in 18 (60%) patients while the second degree of prolapse was observed in 12 (40%) patients. The success rate was observed in 100% of patients (n=30) immediately post-operatively and 2 patients got pregnant after the surgery and delivered normally in the same hospital without any difficulty and with the maintenance of the effectiveness of surgery. Two patients developed first degree uterovaginal prolapse after surgery and were initially having 2nd degree prolapse. Severe blood loss and visceral organ injury were not observed in any enrolled patients while post operative fever and recurrence were observed in 2 (6.67%) and 2 (6.67%) patients respectively.

Conclusion:

The use of an autologous rectus sheath as a sling in uterine conservation surgery for uterovaginal prolapse is an efficient, safe and cost-efficient approach, especially for younger women needing uterine conservation surgery