A new reusable suturing device for vaginal sacrospinous fixation: feasibility and safety study

Friedman, Talia; Neuman, Menahem; Peled, Yoav; Krissi, Haim

doi:10.1016/j.ejogrb.2015.06.028

Cited by 8 publications

(5 citation statements)

References 15 publications

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“…In fact, many surgical tools for SSL anchoring or suture placement have been tested and marketed, but none has proved to be better than the others 14‐20 …”

Section: Introductionmentioning

confidence: 99%

“…In fact, many surgical tools for SSL anchoring or suture placement have been tested and marketed, but none has proved to be better than the others. [14][15][16][17][18][19][20] These methods all require wide dissection of the vaginal wall in order to access the SSL safely. Several SSLF techniques may include mesh implants, though recent FDA guidance recommends restricting use of mesh, since prolapse repair surgeries involving mesh may have an increased risk of severe adverse events.…”

mentioning

confidence: 99%

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Minimally invasive meshless and minimal dissection ligament fixation system for apical organ prolapse procedures: A 4‐year prospective follow up study

Zvi

Weintraub

Friedman

et al. 2021

Intl J Gynecology & Obste

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Pelvic organ prolapse (POP) is a common condition associated with a significant impairment in overall quality of life (QoL) that often necessitates surgical repair. 1 Many women will undergo a surgical repair to treat POP, some studies show the odds of a women to undergo surgery for POP during her life are between 11%-19%. [1][2][3] Centro apical prolapse is the descent of the uterus, cervix or vaginal vault into the lower vagina either above or below the hymeneal ring. Loss of apical support is typically found in women with symptomatic Stage II prolapse or greater, according to the Pelvic Organ Prolapse Quantification system (POP-Q). [4][5][6] Women may present with single compartment compromise

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“…In fact, many surgical tools for SSL anchoring or suture placement have been tested and marketed, but none has proved to be better than the others 14‐20 …”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Minimally invasive meshless and minimal dissection ligament fixation system for apical organ prolapse procedures: A 4‐year prospective follow up study

Zvi

Weintraub

Friedman

et al. 2021

Intl J Gynecology & Obste

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“…None has been found to be superior to the others, but they differ in their technique for use, safety and cost profile. 5 – 7 …”

Section: Introductionmentioning

confidence: 99%

Responsibility toward affordable healthcare: disposable versus reusable methods for pelvic floor repair

Pandeva

Johnson

Slack

et al. 2018

IJWH

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BackgroundThe adverse publicity surrounding the use of mesh for correction of pelvic organ prolapse has driven a renewed interest in native tissue repair. Established techniques used reusable instruments, while recent innovations have generally involved disposable equipment. Here, we compare outcomes between the two techniques used for sacrospinous ligament fixation for the correction of apical prolapse: Miya Hook (reusable) and Capio® (single-use) suturing devices.MethodsA prospective cohort study of women undergoing vaginal sacrospinous colpopexy or hysteropexy was undertaken. The patients were assessed preoperatively and 1 year post-operatively. The primary outcomes were improvement in vaginal scores and patient-reported absence of a vaginal bulge. Secondary outcomes included impact on sexual function, quality of life, perioperative complications and apical recurrence. The cost of instruments, operative times and length of stay were analyzed.ResultsIn total, 133 women with advanced prolapse in the apical compartment underwent colpopexy or hysteropexy (63 using the reusable Miya Hook and 40 with the disposable Capio device). Mean follow-up was 16.9 months (SD 7.8) and 14 months (SD 3.1), respectively. There were no significant differences in baseline characteristics or preoperative Pelvic Organ Prolapse Quantification staging between the two cohorts. Significant improvements in vaginal scores, sexual function and quality of life (International Consultation on Incontinence Questionnaire – Vaginal Symptoms) were observed in both groups postoperatively (P<0.01). Both groups had low apical recurrence in the medium term (<3%). There were no significant differences in operative times or length of stay. The use of disposable equipment was associated with higher cost.ConclusionSacrospinous fixation using either the Miya Hook or the Capio device is equally effective for the management of apical prolapse. In the absence of clinical benefit, the choice of instrument should reflect the cost in a financially constrained health-sector environment.

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“…6,7 Mesh-based SSLS has been associated with postoperative pelvic pain, commonly in the thighs and sacral and perianal areas. 8 The pain usually resolves by 6 months after surgery. 9 Another common area of pain after sacrospinous ligament fixation is gluteal pain.…”

Section: Introductionmentioning

confidence: 99%

“…Nerve injury related to suture‐based SSLS has been associated with paresthesia that lasts for several weeks, and sometimes requires reoperation and replacement of the suture . Mesh‐based SSLS has been associated with postoperative pelvic pain, commonly in the thighs and sacral and perianal areas . The pain usually resolves by 6 months after surgery …”

Section: Introductionmentioning

confidence: 99%

Postoperative pain and perceptions of recuperation after suture‐ and mesh‐based apical sacrospinous ligament suspension

Botros

Letko

Gafni-Kane

et al. 2017

Intl J Gynecology & Obste

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A new reusable suturing device for vaginal sacrospinous fixation: feasibility and safety study

Cited by 8 publications

References 15 publications

Minimally invasive meshless and minimal dissection ligament fixation system for apical organ prolapse procedures: A 4‐year prospective follow up study

Minimally invasive meshless and minimal dissection ligament fixation system for apical organ prolapse procedures: A 4‐year prospective follow up study

Responsibility toward affordable healthcare: disposable versus reusable methods for pelvic floor repair

Postoperative pain and perceptions of recuperation after suture‐ and mesh‐based apical sacrospinous ligament suspension

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