STUDY OBJECTIVE: To evaluate the efficacy and safety of vaginal prosthetic adhesive (VPA) during laparoscopic sacrocolpopexy.
DESIGN: Retrospective analysis of 35 first consecutive cases.
SETTING: Gynecology Surgery Unit, Bouchard Clinic, Marseille, France.
PATIENTS: Thirty-five women (age range: 35-85 years; average 60.8 years) presenting a genital prolapse assessed by a Pelvic Organ Prolapse Quantification (POP-Q) Score (stage 2 to 4).
PROCEDURES: Modified laparoscopic sacrocolpopexy using a synthetic glue (Ifabond™, Peters Surgical®) to fix the mesh to the vagina (anterior and posterior) and to the levator ani. Two non-absorbable knots are used to secure the anterior mesh to the isthmus and to the promontory.
MEASUREMENTS AND MAIN RESULTS: The average operating time was 68.4 minutes (45-115 min). No complications occurred during the procedure and early postoperative course. One patient (2.8%) experienced mesh exposure, and one patient (2.8%) experienced a subacute intestinal obstruction, which was resolved by a medical treatment. During a median follow-up at 13.2 months (range: 6-24.7 months), the surgical success rate (POP-Q< 2) was 94.2% (two recurrences). The patient satisfaction rate was 87%.
CONCLUSIONS: The VPA during laparoscopic sacrocolpopexy seems to be safe and effective at short term. This new procedure due to adhesive opens up a new path for the widespread use of sacrocolpopexy and for reduced operating times, which is often one obstacle with the dissection in the development of this technique.
Written by:
Estrade JP, Gurriet B, Franquebalme JP, Chinchole JM, Glowaczower E, Ferry C, Crochet P, Agostini A. Are you the author?
Surgery unit, Gynécomarseille, 6, rue Rocca, 13008 Marseille, France; CHU La-Conception, 147, boulevard Baille, 13005 Marseille, France.
Reference: Gynecol Obstet Fertil. 2015 Jun;43(6):419-23.
doi: 10.1016/j.gyobfe.2015.04.016
PubMed Abstract
PMID: 26003781
