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- W3166155260 abstract "To explore the safety and efficiency of modified sacrospinous ligament fixation (MSSF) for apical prolapse.A retrospective cohort study. Patients diagnosed with apical prolapse from 2014 to 2019 were recruited and divided into three groups: sacrospinous ligament fixation (SSF), MSSF, and laparoscopic sacral hysteropexy (LSH). All surgical characteristics were obtained and information concerning complications was collected and compared among these three groups.A total of 710 patients were included: 108 in the SSF group, 260 in the LSH group, and 342 in the MSSF group. The MSSF and SSF groups took less surgical time (P < 0.001) and had shorter hospital stays (P < 0.001). All three methods can significantly change prolapses to point C on the POP quantification score (P < 0.001). Prevalence of vaginal and pelvic pain after surgery was higher in the SSF group (8/108; 7.41%) (P = 0.028), and urinary incontinence was higher in the LSH group (22/260; 8.46%) (P = 0.010). In the LSH group more patients experienced constipation and dyschezia after surgery (prevalence 18/260; 6.92%; P = 0.048). Recurrence of pelvic organ prolapse in the MSSF group (15/324; 4.39%) and LSH group (12/260; 4.62%) was much lower than in the SSF group (16/108; 14.81%) (P < 0.001).The efficacy of MSSF is commendable with low recurrence of POP and few complications in long-term follow up." @default.
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- W3166155260 date "2021-07-13" @default.
- W3166155260 modified "2023-10-16" @default.
- W3166155260 title "Safety and efficiency of modified sacrospinous ligament fixation for apical prolapse: Long‐term studies and outcomes" @default.
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- W3166155260 doi "https://doi.org/10.1002/ijgo.13786" @default.
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