STUDY OBJECTIVE: To evaluate one year outcomes of robotic sacrocolpopexy (RSC) for pelvic organ prolapse (POP) using barbed delayed absorbable sutures.
DESIGN: Retrospective cohort study (Class II-3).
SETTINGS: University-based hospital in Southeast Texas, USA.
PATIENTS: Patients with symptomatic apical POP who underwent RSC using barbed delayed absorbable sutures between January 2011 and August 2012. Patients were examined post-operatively at least twice (after 6 weeks and 1 year).
INTERVENTIONS: RSC procedure.
MEASUREMENTS AND MAIN RESULTS: The study included a total of 20 patients, of them 15 had grades 3 or 4, while 5 had grade 2 apical defects according to the Baden Walker classification system. Fourteen patients (70%) underwent concomitant hysterectomy while 9 (45%) underwent concomitant anti-incontinence surgery. Mesh suturing times were 46.9±12.6 and 20.5±9.3 minutes in the first 10 versus last 10 cases, respectively (P< .001). The mean follow-up duration was 17.3 months (range 12-24 months). There were no recurrences of apical defects or mesh/suture exposure/erosion. However, one patient developed a grade 2 cystocele and another developed new onset urinary incontinence, both after one year. A third patient's urine leakage did not improve postoperatively. Lastly, a fourth patient developed port site incisional hernia and underwent repair 5 months later.
CONCLUSION: Our study suggests that barbed delayed absorbable sutures are safe and effective in RCS procedures over one year. Larger, comparative and randomized trials are recommended for definitive conclusions.
Written by:
Borahay MA, Oge T, Walsh TM, Patel PR, Rodriguez AM, Kilic GS. Are you the author?
Department of Obstetrics & Gynecology, The University of Texas Medical Branch at Galveston.
Reference: J Minim Invasive Gynecol. 2013 Nov 18. pii: S1553-4650(13)01369-1.
doi: 10.1016/j.jmig.2013.11.002
PubMed Abstract
PMID: 24263027
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