Objectives: Richter operation is used for the enterocele and high rectocoele treatment. There are many modifications of the procedure. Alas, not much data concerning complications and the learning curve of Richter operation is currently at our disposal.
Design: The aim of the study is to analyze the course of sacrospinous colposacrofixation and the postoperative period of time in order to optimize surgical technique.
Material and methods: The first 200 procedures, performed by two surgeons, have been investigated. Women with II, III and IV degree of pelvic organ prolapse, according to POP-Q scale, recommended by ICS, have undergone the operation. In accordance with the protocol, we have analyzed the course of the operation and postoperative period of time during the patients' stay in the hospital, as well as the first month after their leaving the hospital.
Results: Difficulties in reaching the sacrospinous ligament have occurred during the initial procedures. The incidence of the problem has been gradually reducing with the increasing number of performed operations. None of the patients was in need of blood transfusion. Granulation in the vagina, resulting in the necessity of its, and parts of sutures, evacuation, occurred in case of 6 (3%) patients.
Conclusions: Sacrospinous colposacrofixation equals a low risk of complications, even during the initial procedures. With the rise of the number of performed operations and better ability recognition of anatomic properties of the operating area, technical problems decrease significantly.