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Sacrospinous Fixation Surgery for Prolapsed Uterus

 Sacrospinous fixation (SSF) surgery is used to address uterine prolapse, a condition where the uterus plunges into or past the vaginal stream due to incapacitated pelvic floor muscles. This surgery intends to restore the uterus to its not unforeseen circumstance by securing it to the sacrospinous ligament, a solid area for a joint to the sacrum (the lower part of the spine). Sacrospinous fixation is consistently performed to offer assistance to the pelvic organs and alleviate aftereffects connected with prolapse, as pelvic strain, urinary incontinence, and sexual brokenness.

Understanding Uterine Prolapse

Uterine prolapse happens when the pelvic floor muscles and ligaments become weakened or broadened, inciting the dive of the uterus into the vaginal channel. This condition is typical among women who have gone through various works, postmenopausal individuals, or women who have experienced gigantic weight gain or continuous pressure. Prolapse can cause discomfort, a vibe of weight in the pelvis, and issues with peeing or defecation.

Sacrospinous Fixation Technique

Sacrospinous fixation is performed through the vagina and includes the accompanying advances:

1. Anesthesia: To guarantee comfort during the technique, the patient is placed under broad, spinal, or provincial anaesthesia.
2. Vaginal Access: The specialist makes an entry point in the vaginal wall to get to the pelvic depression and the sacrospinous tendon, which is situated close to the sacrum.
3. Attachment of the Uterus: The specialist utilizes stitches to join the uterus or the vaginal vault (on the off chance that a hysterectomy has been performed) to the sacrospinous tendon. This repositions the uterus and offers help, forestalling further prolapse.
4. Closure: The vaginal cut is shut with stitches, and the patient is taken to recovery.

The method commonly requires one to two hours and is frequently performed as a feature of a more extensive prolapse fix that might incorporate other pelvic organs, like the bladder or rectum, assuming they are prolapsed.

Advantages of Sacrospinous Fixation

Sacrospinous fixation offers a couple of advantages for women with uterine prolapse:

• Uterine Preservation: For women who wish to keep away from hysterectomy, sacrospinous fixation offers a method for safeguarding the uterus while changing prolapse.
• Insignificantly Prominent: The surgery is performed through the vagina, avoiding the prerequisite for huge stomach section focuses and provoking quicker recovery times and less postoperative distress.
• Compelling Help: By securing the uterus to a solid tendon, the surgery offers strong help and successfully eases side effects related to prolapse.

Recuperation and Postoperative Care

Recuperation from sacrospinous fixation surgery, by and large, includes:

• Hospital Stay: Most patients stay in the hospital for one to two days following the methodology.
• Torment The executives: Postoperative agony is typically gentle to direct and can be dealt with endorsed painkillers.
• Action Limitations: Patients are encouraged to abstain from hard work, demanding exercises, and sex for six to about two months to permit legitimate mending.
• Follow-Up: A subsequent arrangement is ordinarily booked to screen recuperation and guarantee the surgery was fruitful.

Possible Dangers and Confusions

While sacrospinous fixation is, for the most part, protected, there are a few dangers:

• Infection: Likewise with any surgery, there is a gamble of infection at the careful site.
• Bleeding: There might be some bleeding during or after the system; however, it is commonly insignificant.
• Nerve or Vascular Injury: The sacrospinous tendon is situated close to significant nerves and veins, and there is little gamble of injury during the strategy.
• Repeat: now and again, prolapse might repeat, particularly in the event that other pelvic organs are involved.

Conclusion

Sacrospinous fixation is a successful, careful choice for treating uterine prolapse, especially for ladies who wish to protect their uterus. The system offers solid help to the pelvic organs, reducing side effects and improving personal satisfaction. Assuming you are encountering side effects of uterine prolapse and are thinking about careful choices, talk with your medical services supplier to decide whether sacrospinous fixation is the best decision for you.

endometriosis excision surgery, hysteroscopy and polyp removal, fibroid removal laparoscopic myomectomy, transobturator tape procedure recovery, uterine prolapse treatment, urinary incontinence surgery

Dr. Usha Kiran FRCOG

Consultant Gynaecologist

Advanced Laparoscopic (Level 3/4) & Hysteroscopic Surgeon

vNOTES (Scarless Surgeon)