An unusual complication following Sacrospinous Fixation for Vaginal Vault Prolapse

A 74-years-old woman presented with recurrent apical prolapse (POPQ stage 3). Previous surgical history includes abdominal hysterectomy for menorrhagia and posterior repair with sacrospinous fixation (SSF) for vault prolapse. She was unsuitable for a mesh-based abdominal sacrocolpopexy due to fibromyalgia and chronic pain syndrome, and underwent vaginal repair with SSF. Dissection during surgery was difficult due to scarring. On 1  st postoperative day, she had a syncopal episode. Blood results revealed a significant drop in her haemoglobin (120 g/L to 88 g/L) and hyponatremia (123 mmol/L) that was corrected gradually.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Short communication Source Type: research