G Vaudano1, M Gatti. 1. Department of Obstetrics and Gynecology San Lorenzo Hospital, Carmagnola, Turin, Italy - vaudanogiacomo@tiscali.it.
Abstract
AIM: Aim of the present study was to evaluate advantages and disadvantages of the sacrospinous ligament fixation (SSF) technique using the Capio™ suture capturing device (Boston Scientific, Natick, MA, USA) in a group of menopausal women affected by vaginal vault prolapse. METHODS: This was an observational, retrospective, cross-sectional study. Menopausal women with vaginal vault prolapse (grade >2) who had never before been treated to correct the vaginal prolapse received the SSF technique using the Capio™ suture capturing device. RESULTS: Forty-seven patients underwent unilateral (38.2%) or bilateral (61.8%) fixation, through the paravescical (65.9%) or pararectal (34.1%) route. Median follow-up was 18.5 months (range 3-34); follow-up visits were performed 30 days after the intervention, at 3, 6 and 12 months in the first postoperative year and every 6 months from then on. Other concomitant procedures such as cystopexy, rectopexy, correction of enterocele or vaginal paravaginal repair were performed as necessary. The procedure was successful in 89.3% of patients, with a resulting mean vaginal length of 7.1±2.4 cm, regardless of the approach used. Only 5 patients suffered from prolapse recurrence. Main long-term complications were de novo and recurrent cystocele, observed mainly in patients who presented risk factors and with no significant differences related to the surgical procedure. CONCLUSION: The use of the Capio™ suture capturing device can simplify the SSF procedure compared with the traditional technique. The use of small devices requires less surgical dissection, reducing surgery time. Future studies are required to solve open issues.
AIM: Aim of the present study was to evaluate advantages and disadvantages of the sacrospinous ligament fixation (SSF) technique using the Capio™ suture capturing device (Boston Scientific, Natick, MA, USA) in a group of menopausal women affected by vaginal vault prolapse. METHODS: This was an observational, retrospective, cross-sectional study. Menopausal women with vaginal vault prolapse (grade >2) who had never before been treated to correct the vaginal prolapse received the SSF technique using the Capio™ suture capturing device. RESULTS: Forty-seven patients underwent unilateral (38.2%) or bilateral (61.8%) fixation, through the paravescical (65.9%) or pararectal (34.1%) route. Median follow-up was 18.5 months (range 3-34); follow-up visits were performed 30 days after the intervention, at 3, 6 and 12 months in the first postoperative year and every 6 months from then on. Other concomitant procedures such as cystopexy, rectopexy, correction of enterocele or vaginal paravaginal repair were performed as necessary. The procedure was successful in 89.3% of patients, with a resulting mean vaginal length of 7.1±2.4 cm, regardless of the approach used. Only 5 patients suffered from prolapse recurrence. Main long-term complications were de novo and recurrent cystocele, observed mainly in patients who presented risk factors and with no significant differences related to the surgical procedure. CONCLUSION: The use of the Capio™ suture capturing device can simplify the SSF procedure compared with the traditional technique. The use of small devices requires less surgical dissection, reducing surgery time. Future studies are required to solve open issues.
Authors: Yiğit Akın; Matthew Young; Muhammad Elmussareh; Nickolaus Charalampogiannis; Ali Serdar Gözen Journal: Balkan Med J Date: 2018-06-28 Impact factor: 2.021