SACROSPINAL LIGAMENT FIXATION ACCORDING T O AMREICH RICHTER - A CLINICAL REPORT ON 116 CASES/

From 1988 through March 1997 116 patients were treated by sacrospinal ligament fixation according to Amreich/Richter at the Department of Gy naecology of the University of Halle. The therapeutic indications were prolapse of uterus and subtotal or total vaginal vault prolapse after hysterectomy. In 115 cases the fixation was successful. Recurrent vau lt prolapse occurred in one woman. We observed the following postopera tive complications: urinary tract infection (10.3%), temporary irritat ion of the sciatic nerve (8.6%), inability to void spontaneously (6%), temporary urinary congestion of the right kidney (4.3%) and postopera tive blood loss (4.3%). One female patient decreased 5 days postoperat ively after cerebral infarction. Some of the advantages of vaginal sac rospinal vault suspension are an uncomplicated approach, the possibili ty of combination with additive operations, a high incidence of long-t erm results and good acceptance by the patient. Sacrospinal vault susp ension is an exacting operation with a long learning period.