A comparative study of laparoscopic sacrocolpopexy and total vaginal mesh procedure using lightweight polypropylene meshes for prolapse repair

Liu, Chih Ku; Tsai, Ching Pei; Chou, Min-Min; Shen, Pao‐Sheng; Chen, Gin Den; Hung, Yao Ching; Hung, Man‐Jung

doi:10.1016/j.tjog.2014.07.006

Cited by 21 publications

(47 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, increasing rates of vaginal hysterectomy from Prosima to Elevate repairs were due to changing policy for managing prolapsed (POP ≧stage 2) uterus. In our previous studies, we found the preservation of a prolapsed (POP ≧stage 2) uterus during the Prosima procedure or a transvaginal trocar‐guided mesh repair using partially absorbable meshes (Prolift + M) contributed to higher rates of anatomic recurrence. Long et al found similar results that advanced uterine prolapse was one significant predictor of failure following trocar‐guided transvaginal mesh reapir for POP .…”

Section: Discussionmentioning

confidence: 97%

Factors that affect outcomes of prolapse repair using single‐incision vaginal mesh procedures

Hsieh¹,

Tsai²,

Liu³

et al. 2017

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aims: Single-incision vaginal mesh (SIVM) procedures for pelvic organ prolapse (POP) differed in mesh fabrication and implantation that may affect treatment outcomes. We aim to evaluate and compare the safety and effectiveness of two SIVM procedures, and explore factors that may have associations with surgical effectiveness. Methods: Our data of using two SIVM procedures for a total (anterior and posterior) vaginal mesh repair were studied. Patients who had ≧stage 2 POP and underwent either Elevate (n = 85) using anchored, lightweight meshes or Prosima procedures (n = 95) using non-anchored, original meshes were assessed. A detailed comparison of 1 year outcomes was made. Results: Of the 180 patients, 172 (95.6%) attended the 1-year follow-up. Demographic data were similar between groups except a higher average age (64.5 vs 60.4, P = 0.001) was noted in the Elevate (n = 84) group compared to the Prosima (n = 88) group. Surgical results were also similar except a significantly higher objective cure (POP stage ≦1) rate (89.3% vs 78.4%, P = 0.042) was noted in the Elevate group. The safety profile favored Elevate with a lower, but not statistically significant, rate (4.7% vs 12.5%, P = 0.106) of vaginal mesh exposure. After a statistical analysis, we found anatomic recurrence (POP stage ≧2) after the SIVM procedures had strong (P < 0.05) associations with "early surgical cases," "Prosima procedure," "advanced cystocele (Ba > +3 cm)," and "prior prolapse repair," respectively. Conclusions: Beyond a learning curve, Elevate performed better than Prosima in POP repair regarding surgical effectiveness. Meanwhile, several predisposing factors that may affect recurrence after SIVM procedures were found. K E Y W O R D Slightweight, pelvic organ prolapse, reconstructive pelvic surgery, single-incision, vaginal meshes

show abstract

Section: Discussionmentioning

confidence: 97%

Factors that affect outcomes of prolapse repair using single‐incision vaginal mesh procedures

Hsieh¹,

Tsai²,

Liu³

et al. 2017

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…The aim of this study was to make a retrospective comparison of TVM and LSC for pelvic floor reconstruction, with a long‐term follow‐up to evaluate their effects and safety. Few studies have compared the two methods directly . The results show that intraoperative bleeding was less in the LSC group, but the operation time was longer.…”

Section: Discussionmentioning

confidence: 99%

“…In the present study, the postoperative recurrence rates were 8.5% for TVM and 5.1% for LSC, without significant difference. These results were similar to those of a previous study …”

Section: Discussionmentioning

confidence: 99%

“…The degree of anatomic restoration is generally high through the TVM technique, but the complications (including mesh exposure and erosion, discomfort of sexual intercourse and postoperative perineal pain) can be serious and have led to some controversy over its use . LSC has merits, such as high subjective satisfaction, and a low rate of secondary operation, though it has disadvantages including a longer operation time, slower recovery and higher cost than TVM . Previous studies have usually focused on the effects in terms of anatomy; in the current study, we aimed not only to compare the anatomic effects of the two methods, but we also evaluated the functional effects and long‐term complications in a large sample of patients with long‐term follow‐up.…”

Section: Introductionmentioning

confidence: 99%

“…14,15 LSC has merits, such as high subjective satisfaction, and a low rate of secondary operation, though it has disadvantages including a longer operation time, slower recovery and higher cost than TVM. 16,17 Previous studies have usually focused on the effects in terms of anatomy; in the current study, we aimed not only to compare the anatomic effects of the two methods, but we also evaluated the functional effects and long-term complications in a large sample of patients with long-term follow-up. This should allow us to compare the results of these two surgical methods.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison between laparoscopic uterus/sacrocolpopexy and total pelvic floor reconstruction with vaginal mesh for the treatment of pelvic organ prolapse

Wei

Wang

Niu

et al. 2019

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Aim To compare total pelvic floor reconstruction with vaginal mesh (TVM) and laparoscopic uterus/sacrocolpopexy (LSC) for the treatment of pelvic organ prolapse (POP). Methods Six hundred and seventy patients with POP stage 3 and 4 underwent LSC ( n = 350) or TVM ( n = 320) at the West China Second Hospital, Sichuan University between January 2011 and December 2016. Retrospective analysis was done to compare the POP‐Q value before operation and 6 months, 5 years after operation, also compare the, patient global impression of change (PGI‐C), pelvic floor distress inventory (PFDI‐20) and pelvic floor impact questionnaire (PFIQ‐7). Patients were followed for a median 36 months. Thirty‐five patients in the LSC and 37 in the TVM groups were lost to follow‐up. Results Preoperative POP value and disease course were similar ( P = 0.075). The LSC group was younger (52.8 ± 6.8 vs. 63.9 ± 8.7 years, P = 0.037). Intraoperative bleeding was smaller in the LSC group (74.4 ± 33.2 vs. 150.4 ± 80.3 mL, P < 0.01), with longer operation time (130.0 ± 34.1 min vs 100.4 ± 40.4 min, P < 0.035). The patients were followed for 10–60 months (median, 36 months). Postoperative PISQ‐12 ( P < 0.01) was better in the LSC group. PFDI‐20 and PFIQ‐7 were improved after operation in both groups. Objective satisfaction (94.9% vs 91.9%, P > 0.05) and recurrence rate (8.4% vs 5.1%, P = 0.064) were similar. No infection or fistula occurred after operation in both groups. The complication rate of intraoperative bladder injury and postoperative perineal pain in LSC group was lower than those in the TVM group ( P < 0.05). Conclusion LSC showed no serious adverse events and led to higher postoperative satisfaction than TVM in selected patients. Nevertheless, treatment should be selected in accordance with the willingness and condition of each patient.

show abstract

Comparison of laparoscopic techniques for apical organ prolapse repair – a systematic review of the literature

Szymczak

Grzybowska

Wydra

2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aims Apical defect is a pelvic organ prolapse disorder, with 5%‐15% prevalence. The aim of the study was to investigate methods of laparoscopic repair of apical defect and compare them with other techniques (open, vaginal, and robotic). Methods A systematic search of the literature was conducted in MEDLINE/PubMed and ClinicalTrials.gov databases using the following key words: apical prolapse and treatment procedures. The search was limited by using the humans filters. Only articles published in English between 2010 and 2018 were considered. Two independent authors reviewed the publications for inclusion on the basis of the following criteria: (a) use of laparoscopic techniques, and (b) apical support loss as indication for surgery. Results A total of 1002 papers were initially identified; 24 studies fulfilled the inclusion criteria. Four main laparoscopic procedures were found. The reported anatomical success rate (POP‐Q < II stage) was 77%‐100%, with patient satisfaction for pectopexy, laparoscopic sacropexy (LS), lateral ligament suspension and laparoscopic uterosacral ligament suspension (LUSLS) of 96.4%‐97.6%, 71.0%‐100%, 66.7%‐87.8%, and 95%‐95.5%, respectively. Major complications included hemorrhage, bladder, ureter, and/or bowel injuries were rare. Prolapse recurrences after LUSLS and LS were reported in 13.2% and 10.4% of patients, respectively; with reoperation rate for LS 2.2%‐12.8%. Conclusions Most studies reported anatomical and subjective outcomes, with follow‐up ranging from 1 month to >7 years. Success rates for laparoscopic and abdominal corrections of apical defect were similar; laparoscopy was superior in terms of perioperative blood loss, length of hospital stay, and recovery.

show abstract

A comparative study of laparoscopic sacrocolpopexy and total vaginal mesh procedure using lightweight polypropylene meshes for prolapse repair

Abstract: POP repair by LSC or TVM using the new lightweight polypropylene meshes seems to be safe and has comparable outcomes, but limitations may vary.

Cited by 21 publications

References 32 publications

Factors that affect outcomes of prolapse repair using single‐incision vaginal mesh procedures

Factors that affect outcomes of prolapse repair using single‐incision vaginal mesh procedures

Comparison between laparoscopic uterus/sacrocolpopexy and total pelvic floor reconstruction with vaginal mesh for the treatment of pelvic organ prolapse

Comparison of laparoscopic techniques for apical organ prolapse repair – a systematic review of the literature

Contact Info

Product

Resources

About