Balci technique for suspending vaginal vault at vaginal hysterectomy with reduced risk of vaginal vault prolapse

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dc.contributor.authorBalci, Osman
dc.contributor.authorCapar, Metin
dc.contributor.authorAcar, Ali
dc.contributor.authorColakoglu, Mehmet Cengiz
dc.date.accessioned2020-03-26T18:13:51Z
dc.date.available2020-03-26T18:13:51Z
dc.date.issued2011
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractAim: 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.en_US
dc.identifier.doi10.1111/j.1447-0756.2010.01430.xen_US
dc.identifier.endpage769en_US
dc.identifier.issn1341-8076en_US
dc.identifier.issn1447-0756en_US
dc.identifier.issue7en_US
dc.identifier.pmid21395901en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage762en_US
dc.identifier.urihttps://dx.doi.org/10.1111/j.1447-0756.2010.01430.x
dc.identifier.urihttps://hdl.handle.net/20.500.12395/26185
dc.identifier.volume37en_US
dc.identifier.wosWOS:000292509800011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWILEYen_US
dc.relation.ispartofJOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCHen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectBalci techniqueen_US
dc.subjecttotal vaginal lengthen_US
dc.subjectvaginal hysterectomyen_US
dc.subjectvaginal vault prolapseen_US
dc.titleBalci technique for suspending vaginal vault at vaginal hysterectomy with reduced risk of vaginal vault prolapseen_US
dc.typeArticleen_US

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