UTEROVAGINAL PROLAPSE

USE OF AUTOLOGOUS RECTUS SHEATH TO REPAIR A GOOD CHOICE NEEDING MORE FOLLOW-UP

Abstract

Objectives: To follow post-op patients after autologous rectus sheath repair of
utero-vaginal prolapsed. Study Design: Observational study. Place & Duration of study: Services
Hospitals, SIMS, LHR & Bhatti International Hospital, Central Park Medical College LHR.
2008-2012. Methods: Pts from 28to38 yrs of age with utero-vaginal prolapse were selected.
Due to their younger age group uterus retaining procedure was planned whether they had
completed their family or not ,So autologous rectus sheath graft was used with abdominal approach
to suspend the uterus along with plication of round ligament These patients were then
observed for immediate post op complications & 6 months onwards follow up was also noted.
Results: 10 pts were included in the study. Only one pt had dysurea & 1 pt had 1st Degree
cystocele on discharge. Long term follow up showed that 2 pts had 1st degree cystocele & only
1 pt had 1st degree uterovaginal prolapse. Conclusions: An easier procedure for utero-vaginal
prolapse that can be easily performed in a regular hospital set-up without the need of Laparoscope,
mesh or high surgical expertise.