TY - JOUR
T1 - A new reusable suturing device for vaginal sacrospinous fixation
T2 - Feasibility and safety study
AU - Friedman, Talia
AU - Neuman, Menahem
AU - Peled, Yoav
AU - Krissi, Haim
N1 - Publisher Copyright:
© 2015 Elsevier Ireland Ltd. All rights reserved.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Objective We sought to evaluate the feasibility and safety of SeraPro ® (Serag-Wiessner, Germany), an innovative reusable suturing device for vaginal sacrospinous ligament fixation. Study design We reviewed the electronic files of all women who underwent vaginal sacrospinous ligament fixation with SeraPro ® for apical pelvic floor prolapse, with or without mesh implant, performed between April 2013 and September 2013. Preoperative demographic, clinical, operative and postoperative data were analyzed. The women were interviewed and examined before the procedure, at one month postoperatively and tele-interviewed again after three months. Results Overall, 88 women were included in the study. Fifty-three patients (60.2%) had additional anterior mesh placement, 42 (47.7%) had posterior mesh, and 16 (18.2%) had both anterior and posterior mesh insertion. Five patients (5.7%) had no mesh implant. Sixteen patients (18.2%) had an additional mid-urethral sling for the treatment of stress urinary incontinence. No significant technical difficulty was recorded at the procedures. None of the patients had significant long-term morbidity. The mean 3-month follow-up demonstrated significant anatomical and functional improvement. Conclusions The SeraPro ® reusable suturing device is a feasible and safe tool for sacrospinous ligament fixation during vaginal pelvic floor reconstruction.
AB - Objective We sought to evaluate the feasibility and safety of SeraPro ® (Serag-Wiessner, Germany), an innovative reusable suturing device for vaginal sacrospinous ligament fixation. Study design We reviewed the electronic files of all women who underwent vaginal sacrospinous ligament fixation with SeraPro ® for apical pelvic floor prolapse, with or without mesh implant, performed between April 2013 and September 2013. Preoperative demographic, clinical, operative and postoperative data were analyzed. The women were interviewed and examined before the procedure, at one month postoperatively and tele-interviewed again after three months. Results Overall, 88 women were included in the study. Fifty-three patients (60.2%) had additional anterior mesh placement, 42 (47.7%) had posterior mesh, and 16 (18.2%) had both anterior and posterior mesh insertion. Five patients (5.7%) had no mesh implant. Sixteen patients (18.2%) had an additional mid-urethral sling for the treatment of stress urinary incontinence. No significant technical difficulty was recorded at the procedures. None of the patients had significant long-term morbidity. The mean 3-month follow-up demonstrated significant anatomical and functional improvement. Conclusions The SeraPro ® reusable suturing device is a feasible and safe tool for sacrospinous ligament fixation during vaginal pelvic floor reconstruction.
KW - Pelvic organ prolapse
KW - Sacrospinous ligament fixation
UR - http://www.scopus.com/inward/record.url?scp=84940989441&partnerID=8YFLogxK
U2 - 10.1016/j.ejogrb.2015.06.028
DO - 10.1016/j.ejogrb.2015.06.028
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C2 - 26210292
AN - SCOPUS:84940989441
SN - 0301-2115
VL - 193
SP - 23
EP - 26
JO - European Journal of Obstetrics and Gynecology and Reproductive Biology
JF - European Journal of Obstetrics and Gynecology and Reproductive Biology
ER -