Vaginal sacrospinous colpopexy using the Capio suture-capturing device versus traditional technique: Feasibility and outcome

Umberto Leone Roberti Maggiore, Franco Alessandri, Valentino Remorgida, Pier Luigi Venturini, Simone Ferrero

Research output: Contribution to journalArticle

Abstract

Purpose: This study compares the feasibility and outcome of sacrospinous colpopexy for treating vaginal vault prolapse (VVP) performed by either the traditional technique or a simplified procedure using the Capio™ suture-capturing device. Materials and methods: Eighty-six patients with VVP were included in the study. Forty-two patients were treated by traditional sacrospinous colpopexy (TSC group) and 44 patients were treated by the modified technique using the Capio device (CSC group). Additional procedures were performed to restore concomitant pelvic floor defects. Results: The mean (±SD) total operative time was significantly lower in the CSC group (71.7 ± 24.5 min) than in the TSC group (105.5 ± 31.5 min; p <0.001); the intraoperative blood loss was higher in the TSC group than in the CSC group. In the CSC group, the mean operative time required to perform sacrospinous colpopexy was 21.4 ± 3.2 min. In patients who underwent only sacrospinous colpopexy, the time required to perform surgery was significantly lower in the CSC group (20.9 ± 3.3 min) than in the TSC group (39.1 ± 5.2 min; p <0.001). There was no significant difference in the incidence of surgical complications between the two study groups. The objective and subjective success rates at 3-year follow-up were 88.1 and 92.9 % in the TSC group while in the CSC group they were 86.4 and 92.9 %. Conclusion: The modified technique of sacrospinous ligament fixation using the Capio device reduces the operative time and blood loss when compared to the traditional technique.

Original languageEnglish
Pages (from-to)267-274
Number of pages8
JournalArchives of Gynecology and Obstetrics
Volume287
Issue number2
DOIs
Publication statusPublished - Feb 2013

Fingerprint

Sutures
Operative Time
Pelvic Organ Prolapse
Equipment and Supplies
Pelvic Floor
Feasibility Studies
Ligaments
Outcome Assessment (Health Care)
Incidence

Keywords

  • Capio device
  • Operative time
  • Sacrospinous ligament colpopexy
  • Sacrospinous ligament fixation
  • Vaginal vault prolapse

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Vaginal sacrospinous colpopexy using the Capio suture-capturing device versus traditional technique : Feasibility and outcome. / Maggiore, Umberto Leone Roberti; Alessandri, Franco; Remorgida, Valentino; Venturini, Pier Luigi; Ferrero, Simone.

In: Archives of Gynecology and Obstetrics, Vol. 287, No. 2, 02.2013, p. 267-274.

Research output: Contribution to journalArticle

Maggiore, Umberto Leone Roberti ; Alessandri, Franco ; Remorgida, Valentino ; Venturini, Pier Luigi ; Ferrero, Simone. / Vaginal sacrospinous colpopexy using the Capio suture-capturing device versus traditional technique : Feasibility and outcome. In: Archives of Gynecology and Obstetrics. 2013 ; Vol. 287, No. 2. pp. 267-274.
@article{0995210f2dda412cb89734b522d0bfdc,
title = "Vaginal sacrospinous colpopexy using the Capio suture-capturing device versus traditional technique: Feasibility and outcome",
abstract = "Purpose: This study compares the feasibility and outcome of sacrospinous colpopexy for treating vaginal vault prolapse (VVP) performed by either the traditional technique or a simplified procedure using the Capio™ suture-capturing device. Materials and methods: Eighty-six patients with VVP were included in the study. Forty-two patients were treated by traditional sacrospinous colpopexy (TSC group) and 44 patients were treated by the modified technique using the Capio device (CSC group). Additional procedures were performed to restore concomitant pelvic floor defects. Results: The mean (±SD) total operative time was significantly lower in the CSC group (71.7 ± 24.5 min) than in the TSC group (105.5 ± 31.5 min; p <0.001); the intraoperative blood loss was higher in the TSC group than in the CSC group. In the CSC group, the mean operative time required to perform sacrospinous colpopexy was 21.4 ± 3.2 min. In patients who underwent only sacrospinous colpopexy, the time required to perform surgery was significantly lower in the CSC group (20.9 ± 3.3 min) than in the TSC group (39.1 ± 5.2 min; p <0.001). There was no significant difference in the incidence of surgical complications between the two study groups. The objective and subjective success rates at 3-year follow-up were 88.1 and 92.9 {\%} in the TSC group while in the CSC group they were 86.4 and 92.9 {\%}. Conclusion: The modified technique of sacrospinous ligament fixation using the Capio device reduces the operative time and blood loss when compared to the traditional technique.",
keywords = "Capio device, Operative time, Sacrospinous ligament colpopexy, Sacrospinous ligament fixation, Vaginal vault prolapse",
author = "Maggiore, {Umberto Leone Roberti} and Franco Alessandri and Valentino Remorgida and Venturini, {Pier Luigi} and Simone Ferrero",
year = "2013",
month = "2",
doi = "10.1007/s00404-012-2540-y",
language = "English",
volume = "287",
pages = "267--274",
journal = "Archives of Gynecology",
issn = "0170-9925",
publisher = "Springer Verlag",
number = "2",

}

TY - JOUR

T1 - Vaginal sacrospinous colpopexy using the Capio suture-capturing device versus traditional technique

T2 - Feasibility and outcome

AU - Maggiore, Umberto Leone Roberti

AU - Alessandri, Franco

AU - Remorgida, Valentino

AU - Venturini, Pier Luigi

AU - Ferrero, Simone

PY - 2013/2

Y1 - 2013/2

N2 - Purpose: This study compares the feasibility and outcome of sacrospinous colpopexy for treating vaginal vault prolapse (VVP) performed by either the traditional technique or a simplified procedure using the Capio™ suture-capturing device. Materials and methods: Eighty-six patients with VVP were included in the study. Forty-two patients were treated by traditional sacrospinous colpopexy (TSC group) and 44 patients were treated by the modified technique using the Capio device (CSC group). Additional procedures were performed to restore concomitant pelvic floor defects. Results: The mean (±SD) total operative time was significantly lower in the CSC group (71.7 ± 24.5 min) than in the TSC group (105.5 ± 31.5 min; p <0.001); the intraoperative blood loss was higher in the TSC group than in the CSC group. In the CSC group, the mean operative time required to perform sacrospinous colpopexy was 21.4 ± 3.2 min. In patients who underwent only sacrospinous colpopexy, the time required to perform surgery was significantly lower in the CSC group (20.9 ± 3.3 min) than in the TSC group (39.1 ± 5.2 min; p <0.001). There was no significant difference in the incidence of surgical complications between the two study groups. The objective and subjective success rates at 3-year follow-up were 88.1 and 92.9 % in the TSC group while in the CSC group they were 86.4 and 92.9 %. Conclusion: The modified technique of sacrospinous ligament fixation using the Capio device reduces the operative time and blood loss when compared to the traditional technique.

AB - Purpose: This study compares the feasibility and outcome of sacrospinous colpopexy for treating vaginal vault prolapse (VVP) performed by either the traditional technique or a simplified procedure using the Capio™ suture-capturing device. Materials and methods: Eighty-six patients with VVP were included in the study. Forty-two patients were treated by traditional sacrospinous colpopexy (TSC group) and 44 patients were treated by the modified technique using the Capio device (CSC group). Additional procedures were performed to restore concomitant pelvic floor defects. Results: The mean (±SD) total operative time was significantly lower in the CSC group (71.7 ± 24.5 min) than in the TSC group (105.5 ± 31.5 min; p <0.001); the intraoperative blood loss was higher in the TSC group than in the CSC group. In the CSC group, the mean operative time required to perform sacrospinous colpopexy was 21.4 ± 3.2 min. In patients who underwent only sacrospinous colpopexy, the time required to perform surgery was significantly lower in the CSC group (20.9 ± 3.3 min) than in the TSC group (39.1 ± 5.2 min; p <0.001). There was no significant difference in the incidence of surgical complications between the two study groups. The objective and subjective success rates at 3-year follow-up were 88.1 and 92.9 % in the TSC group while in the CSC group they were 86.4 and 92.9 %. Conclusion: The modified technique of sacrospinous ligament fixation using the Capio device reduces the operative time and blood loss when compared to the traditional technique.

KW - Capio device

KW - Operative time

KW - Sacrospinous ligament colpopexy

KW - Sacrospinous ligament fixation

KW - Vaginal vault prolapse

UR - http://www.scopus.com/inward/record.url?scp=84878368841&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878368841&partnerID=8YFLogxK

U2 - 10.1007/s00404-012-2540-y

DO - 10.1007/s00404-012-2540-y

M3 - Article

C2 - 22941353

AN - SCOPUS:84878368841

VL - 287

SP - 267

EP - 274

JO - Archives of Gynecology

JF - Archives of Gynecology

SN - 0170-9925

IS - 2

ER -