Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial

Maher, Christopher F., Feiner, Benjamin, DeCuyper, Eva M., Nichlos, Cathy J., Hickey, Kacey V. and O'Rourke, Peter (2011) Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial. American Journal of Obstetrics and Gynecology, 204 4: 360.e1-360.e7. doi:10.1016/j.ajog.2010.11.016


Author Maher, Christopher F.
Feiner, Benjamin
DeCuyper, Eva M.
Nichlos, Cathy J.
Hickey, Kacey V.
O'Rourke, Peter
Title Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial
Journal name American Journal of Obstetrics and Gynecology   Check publisher's open access policy
ISSN 0002-9378
1097-6868
1085-8709
Publication date 2011-04
Sub-type Article (original research)
DOI 10.1016/j.ajog.2010.11.016
Volume 204
Issue 4
Start page 360.e1
End page 360.e7
Total pages 7
Place of publication Philadelphia, PA, United States
Publisher Mosby
Language eng
Formatted abstract
OBJECTIVE: To compare the laparoscopic sacral colpopexy and total vaginal mesh for vaginal vault prolapse.
STUDY DESIGN: Women with symptomatic stage ≥2 vault prolapse were randomly allocated the laparoscopic sacral colpopexy (53) or total vaginal mesh (55). Primary outcome measures were objective success rates at pelvic organ prolapse  quantification sites individually and collectively. Secondary outcome measures included perioperative outcomes, patient satisfaction, quality of life outcomes, complications, and reoperations.
RESULTS: The laparoscopic sacral colpopexy group had a longer operating time, reduced inpatient days, and quicker return to activities of daily living as compared with the total vaginal mesh group. At the 2-year review, the total objective success rate at all vaginal sites was 41 of 53 (77%) for laparoscopic sacral colpopexy as compared with 23 of 55 (43%) in total vaginal mesh (P < .001). Reoperation rate was significantly
higher after the vaginal mesh surgery 12 of 55 (22%) as compared with laparoscopic sacral colpopexy 3 of 53 (5%) (P<.006).
CONCLUSION: At 2 years, the laparoscopic sacral colpopexy had a higher satisfaction rate and objective success rate than the total vaginal mesh with lower perioperative morbidity and reoperation rate.
Keyword Laparoscopic sacral colpopexy
Vaginal mesh repair
Vaginal vault prolapse
Pelvic Organ Prolapse
Polypropylene Mesh
Transvaginal Repair
Sacrocolpopexy
Questionnaire
Anterior
Surgery
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Article number 360

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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