Laparoscopic extraperitoneal uterine suspension with suture line instead of mesh

Abstract

Objective To compare the safety and effectiveness of two different materials (mesh and suture line) used in laparoscopic extraperitoneal uterine suspension.Design A retrospective observational study.Setting Gynaecology departments in two hospitals in China.Population Women with symptomatic pelvic organ prolapse (POP) of stage II or higher.Methods The women were divided into two groups according to the two different materials for laparoscopic extraperitoneal uterine suspension: mesh or suture line. The baseline characteristics, perioperative details, complications, objective and subjective indexes of the two groups were compared.Main outcome measures The primary outcome was subjective satisfaction rate based upon validated questionnaires. The secondary outcome was objective anatomic assessment with the POP-Q system.Results No difference was found in baseline characteristics and perioperative details except that there were more cases of cardiovascular disease (CVD) and associated other surgeries in the Line than the Mesh group (36 versus 19, P < 0.05; 12 versus 2, P < 0.05). Statistically significant improvements were found in anatomical measures of points Aa, Ba, Ap, Bp, C and TVL (P < 0.01), as well as functional and quality-of-life measures (P < 0.01 for PFDI-20 and PFIQ-7) between both groups. The postoperative PFDI-20, PFIQ-7 and PGI-I scores were not different between two groups (P > 0.05). Two cases of deep wound infection were observed in Mesh group at 3-month follow up.Conclusions Laparoscopic extraperitoneal linear uterine suspension is easy to perform and is associated with fewer meshrelated complications. It is more secure, especially in elderly women and in those with physical complications.Keywords Laparoscopic, mesh, uterine prolapse, uterine suspension.Tweetable abstract Laparoscopic extraperitoneal linear uterine suspension is safe, with fewer mesh-related complications.

A modified laparoscopic lateral suspension with mesh for apical and anterior pelvic organ prolapse: a retrospective cohort study.

“…Analyses of pre-and postoperative POP-Q data revealed significant improvement after a 12-month follow-up period. Apical and anterior compartment anatomical success rates were found to be 96.33% and 94.50%, respectively, similar to those reported in prior literature [17][18][19][20].…”

A new modified laparoscopic lateral suspension with mesh for apical and anterior pelvic organ prolapse: clinical analysis of 51 cases

“…Analyses of pre-and postoperative POP-Q data revealed signi cant improvement after a 12-month followup period. Apical and anterior compartment anatomical success rates were found to be 96.08% and 94.12%, respectively, similar to those reported in prior literature [17][18][19][20].…”

The Outlook of the Development of Innovative Products from Biocompatible Natural Spider Silk in the Beauty Thread-Lifting Industry

“…The first facial suspension operation with barbed sutures was performed by Sulamanidze and his colleagues in the 1990s, and then it has become popular among dermatologists, plastic surgery and other cosmetic surgeons [14]. In addition to its main applications in facial rejuvenation, the thread lifting is also involved in body remodeling such as buttocks lift, breast lift, arm lift, abdominoplasty, vaginal tightening and uterine suspension and other branches [15][16][17][18][19][20].…”

“…The first facial suspension operation with barbed sutures was performed by Sulamanidze and his colleagues in the 1990s, and then it has become popular among dermatologists, plastic surgery and other cosmetic surgeons [ 14 ]. In addition to its main applications in facial rejuvenation, the thread lifting is also involved in body remodeling such as buttocks lift, breast lift, arm lift, abdominoplasty, vaginal tightening and uterine suspension and other branches [ 15 – 20 ]. The operational positions of face-lift are based on the upper, middle and lower face, whilst the major treatment parts consisted of forehead wrinkles, frown lines, and eyebrow lifts on the upper face, fat sagging in the zygomatic area, ptosis, nasal tip, nasolabial folds, bucco-mentonian grooves of the middle face, double chin, marionette lines and mandibular of the lower face, including the neck lines, etc.…”