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Reproductive performance following Shirodkar's abdominal sling operation
1Department of Obstetrics and Gynaecology, LTMM College, Sion, Bombay.
Journal of the Indian Medical Association
|February 1, 1992
Summary
The Shirodkar abdominal sling operation is effective for treating pelvic organ prolapse, enabling high rates of normal vaginal delivery and low C-section incidence. This surgical approach demonstrates a low recurrence rate for prolapse, enhancing patient outcomes.
Area of Science:
- Obstetrics and Gynecology
- Surgical Procedures
- Pelvic Floor Disorders
Background:
- Pelvic organ prolapse (POP) is a common condition affecting women's quality of life.
- Surgical interventions aim to restore pelvic anatomy and function.
- The Shirodkar abdominal sling operation is a recognized surgical technique for POP.
Purpose of the Study:
- To evaluate the outcomes of the Shirodkar abdominal sling operation.
- To assess the impact on delivery modes and prolapse recurrence.
- To analyze patient management in relation to labor, abortion, and infertility.
Main Methods:
- A retrospective study of 79 patients undergoing the Shirodkar abdominal sling operation.
- Data collected over a 4-year period (January 1986 - December 1989).
- Analysis of patient admission reasons (active labor, abortion, infertility) and surgical outcomes.
Main Results:
- High incidence of full-term normal vaginal delivery (69.56%).
- Low rate of Cesarean sections (2.9%).
- Low prolapse recurrence rate (8.69%) and one case of posterior wall rupture.
Conclusions:
- The Shirodkar abdominal sling operation is associated with favorable obstetric outcomes.
- It demonstrates efficacy in reducing prolapse recurrence.
- The procedure is a viable option for women with pelvic organ prolapse, even those with complex obstetric histories.