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- Title
Laparoscopic extraperitoneal uterine suspension with suture line instead of mesh.
- Authors
Liang, J; Chen, G; Deng, L; Liu, FJ; Wu, LJ; Li, Q; Shen, X; Yang, YJ; Ling, B; Liu, F J; Wu, L J; Yang, Y J
- 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). 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 mesh-related complications. It is more secure, especially in elderly women and in those with physical complications.Tweetable Abstract: Laparoscopic extraperitoneal linear uterine suspension is safe, with fewer mesh-related complications.
- Subjects
LAPAROSCOPIC surgery; UTERINE diseases; GYNECOLOGY; POSTOPERATIVE care; QUALITY of life
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2017, Vol 124, p64
- ISSN
1470-0328
- Publication type
Academic Journal
- DOI
10.1111/1471-0528.14735