Anatomical Outcomes Based on Suturing Technique During Vaginal Mesh Attachment in Robotic Sacrocolpopexy

Female Pelvic Medicine & Reconstructive Surgery
Ali A BazziMuhammad Faisal Aslam

Abstract

In this study, we assessed the difference in anatomical outcomes using the barbed, self-anchoring, delayed absorbable suture when compared with the traditional knot-tying interrupted suture technique during vaginal mesh attachment in robotic sacrocolpopexy. In addition, we compared the rates of mesh erosion with the 2 techniques. This is a retrospective cohort study of 131 women who underwent minimally invasive robotic sacrocolpopexy at 2 sites. There were 65 subjects at site 1 (barbed, self-anchoring, delayed absorbable suture) and 66 from site 2 (traditional knot-tying technique). The primary outcome was anatomical success (measured by all Pelvic Organ Prolapse Quantification System points <0 postsurgery) in the barbed suture technique at site 1 compared with the traditional knot-tying technique at site 2. The secondary outcome was mesh erosion rates at these sites. In the barbed suture group, performed at site 1, 98% (n = 59/60) had postoperative success at the 3-month follow-up period compared with 62% (n = 40/65) in the traditional knot-tying group at site 2 during the 12-month postoperative follow-up (P < 0.0001). During this time period, 2% (n = 1) in the barbed suture group and 8% (n = 5) in the traditional knot-tying g...Continue Reading

References

Jun 1, 2005·Journal of Minimally Invasive Gynecology·Jim W Ross, Mark Preston
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Nov 28, 2008·Obstetrics and Gynecology·Elizabeth J GellerAnthony G Visco
Apr 2, 2009·Journal of Endourology·Brandan A KramerBradley F Schwartz
Mar 29, 2012·Female Pelvic Medicine & Reconstructive Surgery·Blake C OsmundsenWilliam Thomas Gregory
Aug 25, 2012·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Hemendra N Shah, Gopal H Badlani
May 17, 2013·JAMA : the Journal of the American Medical Association·Ingrid NygaardSusan Meikle
Nov 23, 2013·Journal of Minimally Invasive Gynecology·Mostafa A BorahayGokhan Sami Kilic
Nov 26, 2014·International Urogynecology Journal·Jasmine Tan-KimShawn A Menefee
Nov 17, 2015·Female Pelvic Medicine & Reconstructive Surgery·Muhammad F AslamWilliam T Gregory

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Citations

Jan 29, 2020·Female Pelvic Medicine & Reconstructive Surgery·Muhammad Faisal AslamBlake C Osmundsen

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