Journal of Family Medicine and Primary Care

CASE REPORT
Year
: 2019  |  Volume : 8  |  Issue : 1  |  Page : 316--318

Uterine suspension using I. Abdelazim sacrohysteropexy technique for treatment of uterine prolapse: Case series


Ibrahim A Abdelazim1, Svetlana Shikanova2, Bakyt Karimova2, Gulmira Zhurabekova3, Mukhit Sarsembayev2, Tatyana Starchenko2 
1 Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt; Department of Obstetrics and Gynecology, Ahmadi Hospital, Kuwait Oil Company , Ahmadi, Kuwait
2 Department of Obstetrics and Gynecology No. 1, Marat Ospanov, West Kazakhstan State Medical University, Aktobe, Kazakhstan
3 Department of Normal and Topographical Anatomy, Marat Ospanov, West Kazakhstan State Medical University, Aktobe, Kazakhstan

Correspondence Address:
Ibrahim A Abdelazim
Department of Obstetrics and Gynecology, Ain Shams University, Cairo and Ahmadi Kuwait Oil Company Hospital, P.O. Box: 9758, Ahmadi - 61008

Surgical treatment of uterine prolapse in woman who wishes to preserve her uterus remains a major surgical challenge. This case series describes a new surgical technique for uterine suspension in women who wish to preserve their uteri, using the Mersilene tape as an artificial uterosacral ligament to suspend the uterus to the sacral promontory. Four women with genital prolapse (two with stage 1 uterine prolapse and two with stage 2 uterine prolapse and stage 1 vaginal walls prolapse) who requested a uterine conserving procedure were offered I. Adelazim sacrohysteropexy technique as a new surgical option for treatment of the uterine prolapse. This surgical technique is formed of three basic steps: (1) exposure of the anterior longitudinal ligament over the sacral promontory and exposure of the uterosacral ligaments on the back of the uterine cervix; (2) fixation of the Mersilene tape as Y-shaped artificial uterosacral ligament extended from the sacral promontory to the back of the uterine cervix; and (3) closure of the incised visceral peritoneum over the artificial Y-shaped uterosacral ligament. The mean operative duration of I. Abdelazim sacrohysteropexy technique was 50.5 ± 8.4 min and the mean estimated blood loss was 480 ± 67.8 ml. No intraoperative or postoperative complications or recurrence of the uterine prolapse were recorded in the studied cases. I. Abdelazim sacrohysteropexy technique is an effective uterine suspension technique for treatment of uterine prolapse in women who wish to preserve their uteri, using the Mersilene tape as an artificial uterosacral ligament to suspend the uterus to the sacral promontory.


How to cite this article:
Abdelazim IA, Shikanova S, Karimova B, Zhurabekova G, Sarsembayev M, Starchenko T. Uterine suspension using I. Abdelazim sacrohysteropexy technique for treatment of uterine prolapse: Case series.J Family Med Prim Care 2019;8:316-318


How to cite this URL:
Abdelazim IA, Shikanova S, Karimova B, Zhurabekova G, Sarsembayev M, Starchenko T. Uterine suspension using I. Abdelazim sacrohysteropexy technique for treatment of uterine prolapse: Case series. J Family Med Prim Care [serial online] 2019 [cited 2021 May 9 ];8:316-318
Available from: https://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=1;spage=316;epage=318;aulast=Abdelazim;type=0