Surgical Treatment of Important Pelvic Organ Prolapse in a Patient with Severe Systemic Disease: A Case Report

Authors

  • Marco Gentile Obstetrics and Gynecology Unit, Department of Mother and Child, ULSS 9 “Scaligera", Legnago 37045, Verona, Italy
  • Mariaconcetta Zinna Obstetrics and Gynecology Unit, Department of Mother and Child, ULSS 9 “Scaligera", Legnago 37045, Verona, Italy
  • Antonio Costanza Obstetrics and Gynecology Unit, Department of Mother and Child, ULSS 9 “Scaligera", Legnago 37045, Verona, Italy
  • Giacomo Miola Anesthesiology and Intensive Care Unit, Emergency Department, ULSS 9 “Scaligera”, Legnago 37045, Verona, Italy
  • Andrea Remo Pathology Unit, Service Department, ULSS 9 “Scaligera”, San Bonifacio 37047, Verona, Italy
  • Marco Torrazzina Obstetrics and Gynecology Unit, Department of Mother and Child, ULSS 9 “Scaligera", Legnago 37045, Verona, Italy

Keywords:

POP, anesthesia, hysterectomy, sacrospinous

Abstract

Pelvic Organ Prolapse (POP) is a common disease and the surgical treatment ranges from traditional vaginal techniques to abdominal approach using mesh. We present a case of a woman with severe POP and with severe systemic disease treated with vaginal surgical approach under regional anesthesia. A 56-years-old woman presented to our hospital with a POP.  The patient had HIV infection and chronic hepatitis C with liver fibrosis. She had a previous STEMI and a subsequent NSTEMI. The surgery performed was vaginal hysterectomy with bilateral salpingo-oophorectomy, anterior and posterior vaginal repair, right sacrospinous ligament fixation, under regional anesthesia. Prevalence of POP ranges from 10% to 24% and vaginal correction of defects is a common procedure, but Cochrane review stated that abdominal mesh surgery should be considered the gold standard for the treatment  but this surgery needs general anesthesia. Because the recurrence of prolapse after vaginal hysterectomy and sacrospinous ligament fixation occured in approximately 25%, this technique could be useful in patients with systemic disease under regional anesthesia and a multidisciplinary approach is essential.

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Published

2020-09-02

How to Cite

Gentile, M. ., Zinna, M. ., Costanza, A. ., Miola, G. ., Remo, A. ., & Torrazzina, M. . (2020). Surgical Treatment of Important Pelvic Organ Prolapse in a Patient with Severe Systemic Disease: A Case Report. International Journal of Sciences: Basic and Applied Research (IJSBAR), 54(1), 79–84. Retrieved from https://gssrr.org/index.php/JournalOfBasicAndApplied/article/view/11683

Issue

Vol. 54 No. 1 (2020)

Section

Articles

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