{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T06:52:56Z","timestamp":1697611976878},"reference-count":17,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T00:00:00Z","timestamp":1072051200000},"content-version":"vor","delay-in-days":873,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2001,8]]},"abstract":"<jats:p><jats:bold>Objective\n\t\t\t\t\t<\/jats:bold> To assess the feasibility of vaginal sacrospinous ligament fixation for women over 80 years of age with massive vaginal vault or uterovaginal prolapse.<\/jats:p><jats:p><jats:bold>Design\n\t\t\t\t\t<\/jats:bold> Retrospective observational study with long term follow up.<\/jats:p><jats:p><jats:bold>Setting\n\t\t\t\t\t<\/jats:bold> Department of Obstetrics and Gynaecology, Tampere University Hospital, Finland.<\/jats:p><jats:p><jats:bold>Sample\n\t\t\t\t\t<\/jats:bold>  <jats:bold>and Methods<\/jats:bold> The study group consisted of 25 women with a mean (SD) [range] age of 83 (3) [80\u201093] years: 13 had posthysterectomy vaginal vault prolapse and 12 had massive uterovaginal prolapse. All underwent vaginal sacrospinous ligament fixation with repair of pelvic floor relaxation. Women with uterovaginal prolapse also underwent concomitant vaginal hysterectomy. The long term outcome was assessed in 19 women. The mean follow up period was 33 (31) [2\u2010113] months.<\/jats:p><jats:p><jats:bold>Main\n\t\t\t\t\t<\/jats:bold>  <jats:bold>outcome measures<\/jats:bold> Intra\u2010 and post\u2010operative morbidity, mortality and recurrence of prolapse.<\/jats:p><jats:p><jats:bold>Results\n\t\t\t\t\t<\/jats:bold> Sixteen of the 25 women (64 %) had no major intra\u2010 or post\u2010operative complications. The mean estimated blood loss was 400 (280) mL, and seven women received blood transfusions. Four women (16%) had cardiovascular complications, and one died of pulmonary embolism. All four had a history of vascular disease. One woman had symptomatic recurrence of vault prolapse treated with a vaginal pessary; two women had asymptomatic cystocele and one had an enterocele requiring no treatment. The outcomes were similar for women with or without concurrent vaginal hysterectomy.<\/jats:p><jats:p><jats:bold>Conclusion\n\t\t\t\t\t<\/jats:bold> Transvaginal sacrospinous ligament fixation is an effective treatment for massive vaginal vault or uterovaginal prolapse in aged women. Increased blood loss may elevate the risk of cardiovascular complications especially in elderly patients with a history of vascular disease, thus indicating the importance of intraoperative bleeding control.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2001.00209.x","type":"journal-article","created":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T17:08:18Z","timestamp":1072112898000},"page":"817-821","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Sacrospinous ligament fixation for massive genital prolapse in women aged over 80 years"],"prefix":"10.1111","volume":"108","author":[{"given":"Kari","family":"Nieminen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pentti K.","family":"Heinonen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,12,22]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb09343.x"},{"key":"e_1_2_6_3_2","first-page":"855","volume-title":"Te Linde's Operative Gynecology","author":"Nichols D.H.","year":"1992"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00058-6"},{"key":"e_1_2_6_5_2","first-page":"792","article-title":"Genital prolapse with and without urinary incontinence","volume":"35","author":"Harris T.A.","year":"1990","journal-title":"J Reprod Med"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)90412-3"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70049-8"},{"key":"e_1_2_6_8_2","first-page":"919","article-title":"Vaginal pessaries and their use in pelvic relaxation","volume":"38","author":"Sulak P.J.","year":"1993","journal-title":"J Reprod Med"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)70339-9"},{"key":"e_1_2_6_10_2","first-page":"959","article-title":"Neugebauer\u2010Le Fort operation for vaginal prolapse","volume":"37","author":"Ahranjani M.","year":"1992","journal-title":"J Reprod Med"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/gyn.2000.16.101"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(16)32539-X"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)90173-6"},{"key":"e_1_2_6_14_2","first-page":"352","article-title":"The Neugebauer\u2010Le Fort operation: a review of 288 colpocleises","volume":"34","author":"Hanson G.E.","year":"1969","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_15_2","first-page":"254","article-title":"Long term outcome of abdominal sacral colpopexy or vaginal sacrospinous ligament fixation for posthysterectomy vaginal vault prolapse","volume":"6","author":"Nieminen K.","year":"2000","journal-title":"J Pelvic Surg"},{"key":"e_1_2_6_16_2","first-page":"323","article-title":"Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele: evolution of operative techniques","volume":"37","author":"Timmons M.C.","year":"1992","journal-title":"J Reprod Med"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1957.tb02652.x"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2508.2000.00368.x"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1471-0528.2001.00209.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1471-0528.2001.00209.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T16:13:59Z","timestamp":1697559239000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-0528.2001.00209.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,8]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2001,8]]}},"alternative-id":["10.1111\/j.1471-0528.2001.00209.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1471-0528.2001.00209.x","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,8]]},"assertion":[{"value":"2003-12-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}