Abstract
Objective- To correlate the assessment of pelvic organ prolapse
between POP-Q score measured preoperatively with Valsalva manoeuvre and
intraoperatively with mechanical traction.
Design – Cross sectional
Setting – Midnapore Medical College ,Midnapore , West Bengal , India
Sample - Women attending gynaecology out patient department ( OPD) with
symptomatic pelvic organ prolapse and planned for vaginal operative
treatment between March 2019 to February 2020.
Methods - Preoperative examination was done in OPD by POP-Q system with
Valsalva manoeuvre and final examination was done under spinal
anesthesia with mechanical traction. The correlation was done between
pre and intraoperative measurements.
Results: All intraoperative POP-Q measurements showed
significant higher descent as
compared with preoperative measurements (mean difference Aa 0.72cm, Ba
1.08cm, C
1.66cm, Ap 0.26cm,Bp 1.6cm, D 1.6cm, Gh 0.6cm,) except for Pb and Tvl. .
Among all nine measurements the greatest difference between preoperative
and intraoperative were observed for point C, D and Bp.
Conclusion: Preoperative POP-Q score significantly differed when
assessed intraoperatively under spinal anesthesia with traction. Patient
should beinformed that the surgical plan might change depending on the
intraoperative findings.Our study is an alert for both surgeon and
patient.
Tweetable Abstract - Preoperative POP-Q score significantly differs when
assessed intraoperatively under spinal anesthesia with traction in women
wuth advanced POP.
Compliance with ethical standard –All procedures performed in
this study involving human participants were in accordance with the
ethical standards of our institutionand with the 1964 Helsinki
Declaration and its later amendments or comparable ethical standards.
The study was approved by Institutional Ethics Committee of Midnapore
Medical College( letter number -MMC/ IEC-2019/193) and informed
consent was obtained before enrolment.
Conflict of interests- There was nothing to disclose regarding
financial, personal, political, intellectual or religious interests.
There is no conflict of interests.