Permanent Compared With Absorbable Suture for Vaginal Mesh Fixation During Total Hysterectomy and Sacrocolpopexy

Matthews, Catherine A.; Geller, Elizabeth J.; Henley, Barbara R.; Kenton, Kimberly; Myers, Erinn M.; Dieter, Alexis A.; Parnell, Brent A.; Lewicky-Gaupp, Christina; Mueller, Margaret; Wu, Jennifer M.

doi:10.1097/aog.0000000000003884

Cited by 38 publications

(24 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar data are reported in a recent randomized controlled trial by Matthews et al with overall success of 93% for permanent suture and 95% for delayed absorbable suture 9 …”

Section: Introductionsupporting

confidence: 88%

“…A recent randomized controlled trial published in 2020 by Matthews et al 9 included 204 patients randomized to permanent or delayed absorbable suture for vaginal attachment of a Y‐mesh during hysterectomy and sacrocolpopexy; 182 patients(93%) completed 1‐year follow up. Composite success was 93% for permanent sutures compared with 95% for delayed absorbable sutures ( P = .43).…”

Section: Discussionmentioning

confidence: 99%

“…An anterior TiMESH was fixed to the vesicovaginal fascia with 5‐10 2‐0 absorbable/non‐absorbable sutures. Agreement with recent literature on the employment of non‐absorbable sutures or staples for anchoring mesh on the promontory and in the absence of specific data about the best one among these, to ensure a normal tightness we fixed the anterior TiMESH to the anterior longitudinal vertebral ligament covering the sacral promontory with three CapSure™ Permanent Fixation System fasteners (Davol Inc., Warwick, RI, USA) at the level of the promontory 9,17,18 . The following parameters were documented: operative time (from first incision to skin suturing), blood loss, days catheterized, recovery time, and intraoperative and postoperative complications.…”

Section: Methodsmentioning

confidence: 99%

“…7,8 Similar data are reported in a recent randomized controlled trial by Matthews et al with overall success of 93% for permanent suture and 95% for delayed absorbable suture. 9 Recent data suggest that permanent sutures may not be necessary for successful sacrocolpopexy. In porcine models, 74% of the final strength of tissue ingrowth into polypropylene mesh is achieved by 2 weeks after implantation.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of absorbable and permanent sutures for laparoscopic sacrocervicopexy: A randomized controlled trial

Tagliaferri

Ruggieri

Taccaliti

et al. 2020

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

Introduction Pelvic organ prolapse is a common cause of morbidity and decreased quality of life among women and is treatable by laparoscopic sacrocolpopexy. Recent data suggest that absorbable sutures are a feasible and appealing option for mesh attachment given a potential decreased risk of complications related to mesh erosion. The aim of the present study was to demonstrate the non‐inferiority of absorbable sutures to permanent sutures for laparoscopic sacrocervicopexy. Material and methods We performed a randomized, single‐blinded, non‐inferiority trial comparing late‐absorbable sutures (group A) to non‐absorbable sutures (group B) for anterior and posterior vaginal mesh fixation during laparoscopic sacrocervicopexy at a single center in Italy. The primary outcome was prolapse correction at 12 months after surgery, defined as the absence of a pelvic organ prolapse leading edge reaching or extending below the level of the hymen and the absence of bulge symptoms. Secondary outcomes included intraoperative parameters, postoperative characteristics, and long‐term morbidity. Statistical analyses were performed using STATA version 16. Results A total of 150 patients with pelvic organ prolapse were prospectively randomized 1:1 into two groups (A or B). Baseline characteristics and intraoperative parameters including blood loss, operation time, and intraoperative complications were comparable between groups. The success rate was 100% in both groups and no differences in prolapse correction were observed. The rates of de novo urinary incontinence and persistent urinary incontinence were also similar between groups. The rate of mesh erosion at 12 months was 0% in group A and 4% in group B (P = .24). Conclusions Late absorbable sutures are non‐inferior to non‐absorbable sutures for laparoscopic sacrocervicopexy in terms of procedural success. Moreover we did not see any differences in terms of operative parameters, or intraoperative and postoperative characteristics, although the study was not powered to these outcomes.

show abstract

“…Similar data are reported in a recent randomized controlled trial by Matthews et al with overall success of 93% for permanent suture and 95% for delayed absorbable suture 9 …”

Section: Introductionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of absorbable and permanent sutures for laparoscopic sacrocervicopexy: A randomized controlled trial

Tagliaferri

Ruggieri

Taccaliti

et al. 2020

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

show abstract

“…17 However, when LWM was used in 204 patients undergoing MISC with concomitant TH, mesh erosion at 1 year was 6%. 18 These data further indicate that type of mesh and type of hysterectomy may have a profound effect on mesh complications.…”

Section: Discussionmentioning

confidence: 80%

Supracervical Hysterectomy Is Protective against Mesh Complications after Minimally Invasive Abdominal Sacrocolpopexy: A Population-Based Cohort Study of 12,189 Patients

et al. 2022

View full text Add to dashboard Cite

Purpose:Although minimally invasive (robotic or laparoscopic) abdominal sacrocolpopexy (MISC) has become the new gold standard for durable pelvic organ prolapse repair after the vaginal mesh controversy, current literature is limited. Our objective was to study reoperation for mesh complications after MISC.Materials and Methods:All women undergoing MISC in California from January 2012 to December 2018 were identified from Office of Statewide Health Planning and Development data sets using appropriate ICD-9/10 (International Classification of Diseases 9th/10th Revision) and CPT® (Current Procedural Terminology) codes. Univariate and multivariable analyses were performed to assess associations between patient demographics, surgical details and our primary outcomes: rates of reoperation for a mesh complication.Results:Of 12,189 women undergoing MISC 8,398 (68.9%) had concomitant hysterectomy. Total hysterectomy (TH) and supracervical hysterectomy (SCH) were performed in 5,027 (41.2%) and 3,371 (27.6%) cases, respectively. Reoperation rates for mesh complications were lower after SCH vs TH (overall: 0.7%, mean followup time 1,111 days vs 3.1%, mean followup time 1,095 days, p <0.001; subcohort with at least 4 years of followup: 2.1% vs 8.9%, p <0.001). Additionally, mesh complication rates were higher even if TH was performed remotely, as compared to concomitant SCH (5.2% vs 0.7%, p <0.001). The increased risk for reoperation due to mesh complications after TH was preserved on multivariable analysis (OR 4.20, 95% CI 2.72‒6.50, p <0.001).Conclusions:Concomitant TH at time of MISC is associated with a significantly higher rate of mesh complication as compared to SCH. The increased risk of a mesh complication associated with TH is present even if the TH was performed prior to the MISC.

show abstract

Surgery for women with apical vaginal prolapse

Maher

Yeung

Haya

et al. 2023

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Permanent Compared With Absorbable Suture for Vaginal Mesh Fixation During Total Hysterectomy and Sacrocolpopexy

Cited by 38 publications

References 26 publications

Comparison of absorbable and permanent sutures for laparoscopic sacrocervicopexy: A randomized controlled trial

Comparison of absorbable and permanent sutures for laparoscopic sacrocervicopexy: A randomized controlled trial

Supracervical Hysterectomy Is Protective against Mesh Complications after Minimally Invasive Abdominal Sacrocolpopexy: A Population-Based Cohort Study of 12,189 Patients

Surgery for women with apical vaginal prolapse

Contact Info

Product

Resources

About