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Journals / Acta Medica Alanya / 2026 / Cilt: 8 Sayı: 2

Evaluation of iliococcygeal fixation procedure for pelvic organ prolapse: preoperative properties and short term postoperative outcomes

Pelvik organ prolapsusu için iliokoksigeal fiksasyon prosedürünün değerlendirilmesi: preoperatif özellikler ve kısa dönem postoperatif sonuçlar

Emre Köle(ALANYA ALAADDİN KEYKUBAT ÜNİVERSİTESİ)0000-0002-4940-8862
İlaha Hasanova(ALANYA ALAADDİN KEYKUBAT ÜNİVERSİTESİ)0009-0000-5774-5650
Ramazan Oğuz Şahin(ALANYA ALAADDİN KEYKUBAT ÜNİVERSİTESİ)0009-0006-3139-5422
Esra Ayanoğlu(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL SANCAKTEPE ŞEHİR PROF. DR. İLHAN VARANK SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0000-0001-7525-1822
Lale Aksoy(ALANYA ALAADDİN KEYKUBAT ÜNİVERSİTESİ)0000-0001-9344-808X
Alparslan Deniz(ALANYA ALAADDİN KEYKUBAT ÜNİVERSİTESİ)0000-0003-1421-9962
Erdoğan Aslan(ALANYA ALAADDİN KEYKUBAT ÜNİVERSİTESİ)0000-0002-9573-5688
Pages
111–116
Publication Date
2024-08-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Thus, we strongly advocate this procedure until the ideal mesh is found since it avoids many serious complications of SSLF.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: The aim of this study was to evaluate the short-term outcomes of patients who underwent iliococcygeal fixation (ICF) for the surgical treatment of pelvic organ prolapse (POP) and to assess the safety and feasibility of the ICF procedure.
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Key Findings & Data:Patients and Methods: Our study is retrospectively done with the data of 50 POP patients who underwent ICF in our clinic within the dates 01.04.2022 and 31.03.2024.
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Conclusion & Impact:Thus, we strongly advocate this procedure until the ideal mesh is found since it avoids many serious complications of SSLF.
🔬Design:Araştırma Makalesi
📍Scope:2022 Verileri
⚙️Variables:pelvik organ prolapsusu · sakrospinöz ligament fiksasyonu · iliokoksigeal fiksasyon

Abstract

Aim: The aim of this study was to evaluate the short-term outcomes of patients who underwent iliococcygeal fixation (ICF) for the surgical treatment of pelvic organ prolapse (POP) and to assess the safety and feasibility of the ICF procedure. Patients and Methods: Our study is retrospectively done with the data of 50 POP patients who underwent ICF in our clinic within the dates 01.04.2022 and 31.03.2024. A total of 44 women were found to be eligible for follow-up. Demographic data and pre- and post-operative clinical data at 3 months were assessed. Results: According to the findings of our study, the difference between the median duration of surgery in NSD and CS patients is statistically significant, and the duration of surgery is longer in NSD patients (80 minutes (70-85) vs 60 minutes (50 -67,5), (p<0,05)). Only one recurrence, one hematoma and infection, and one bladder injury had occurred. Conclusion: According to our study, ICF is a safe, durable and surgically feasible procedure that can be done concomitantly with other procedures. Thus, we strongly advocate this procedure until the ideal mesh is found since it avoids many serious complications of SSLF.

Özet

Amaç: Bu çalışmada; pelvik organ proplapsusu (POP) nedeniyle, cerrahi tedavisi için iliokoksigeal fiksasyon (ICF) uyguladığımız hastaların kısa dönem sonuçlarını araştırmayı ve ICF prosedürünün güvenirliğini ve uygulanabilirliğini değerlendirmeyi amaçladık. Hastalar ve Yöntemler: Çalışmamız 01.04.2022 ve 31.03.2024 tarihleri arasında kliniğimizde ICF uygulanan 50 POP hastasının verileri retrospektif olarak değerlendirilmiştir. Toplam 44 hasta çalışmada değerlendirme kriterlerine uygun bulundu. Hastaların demografik verileri ile preoperatif ve postoperatif 3. Aydaki klinik verileri değerlendirildi. Bulgular: Çalışmamızın bulgularına göre, NSD ve CS hastalarında ortanca ameliyat süresi arasındaki fark istatistiksel olarak anlamlıdır ve NSD hastalarında ameliyat süresi daha uzundur (80 dakika (70-85) vs 60 dakika (50 -67,5), (p<0,05)). Sadece bir rekürrens, bir hematom ve enfeksiyon ve bir mesane yaralanması meydana geldi. Sonuç: Çalışmamıza göre, ICF güvenli, dayanıklı ve diğer prosedürlerle birlikte yapılabilen cerrahi olarak uygulanabilir bir prosedürdür. Bu nedenle, SSLF' nin birçok ciddi komplikasyonunu önlediği için ideal yöntem bulunana kadar bu prosedürü şiddetle savunuyoruz.

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Cite This Article

Köle, E., Hasanova, İ., Şahin, R. O., Ayanoğlu, E., Aksoy, L., Deniz, A., Aslan, E. (2024). Evaluation of iliococcygeal fixation procedure for pelvic organ prolapse: preoperative properties and short term postoperative outcomes. Acta Medica Alanya, Cilt: 8 Sayı: 2, 111–116. https://doi.org/10.30565/medalanya.1521321

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