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Erschienen in: International Urogynecology Journal 3/2012

01.03.2012 | Original Article

Feasibility and outcome of vaginal paravaginal repair using the Capio suture-capturing device

verfasst von: Umberto Leone Roberti Maggiore, Simone Ferrero, Sara Mancuso, Sergio Costantini

Erschienen in: International Urogynecology Journal | Ausgabe 3/2012

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Abstract

Introduction and hypothesis

This investigation describes the feasibility and outcome of vaginal paravaginal repair (VPVR) performed using the Capio™ suture-capturing device.

Methods

This prospective study included 36 women with paravaginal fascial defects, symptomatic stage II to IV anterior vaginal wall prolapse, and uterine prolapse equal or more than stage 2. VPVR was performed using the Capio device. In addition, anterior colporrhaphy, posterior colporrhaphy, and vaginal hysterectomy were performed.

Results

The mean time required to perform the VPVR was 12.9 min (range, 11–18 min). The median blood loss during the VPVR was 35 ml (range, 20–65 ml). There were no major intraoperative complications. At 2-year follow-up, the rate of recurrent anterior vaginal wall prolapse (stage ≥2) was 8.6%.

Conclusions

VPVR performed using the Capio device is associated with minimal dissection of the tissues, blood loss, and operating time and has low recurrence rate at 2-year follow-up.
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Literatur
1.
Zurück zum Zitat Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186:1160–1166PubMedCrossRef Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186:1160–1166PubMedCrossRef
2.
Zurück zum Zitat Chen L, Ashton-Miller JA, DeLancey JO (2009) A 3D finite element model of anterior vaginal wall support to evaluate mechanisms underlying cystocele formation. J Biomech 42:1371–1377PubMedCrossRef Chen L, Ashton-Miller JA, DeLancey JO (2009) A 3D finite element model of anterior vaginal wall support to evaluate mechanisms underlying cystocele formation. J Biomech 42:1371–1377PubMedCrossRef
4.
Zurück zum Zitat Richardson AC, Lyon JB, Williams NL (1976) A new look at pelvic relaxation. Am J Obstet Gynecol 126:568–573PubMed Richardson AC, Lyon JB, Williams NL (1976) A new look at pelvic relaxation. Am J Obstet Gynecol 126:568–573PubMed
5.
Zurück zum Zitat Richardson AC, Saye WB, Miklos JR (1997) Repairing paravaginal defects laparoscopically. Contemp Obstet Gynecol 42:125–130 Richardson AC, Saye WB, Miklos JR (1997) Repairing paravaginal defects laparoscopically. Contemp Obstet Gynecol 42:125–130
6.
Zurück zum Zitat White GR (1912) An anatomic operation for the cure of cistocele. Am J Obstet Dis Women Children 126:568 White GR (1912) An anatomic operation for the cure of cistocele. Am J Obstet Dis Women Children 126:568
7.
Zurück zum Zitat Shull BL, Benn SJ, Kuehl TJ (1994) Surgical management of prolapse of the anterior vaginal segment: an analysis of support defects, operative morbidity, and anatomic outcome. Am J Obstet Gynecol 171:1429–1436PubMed Shull BL, Benn SJ, Kuehl TJ (1994) Surgical management of prolapse of the anterior vaginal segment: an analysis of support defects, operative morbidity, and anatomic outcome. Am J Obstet Gynecol 171:1429–1436PubMed
8.
Zurück zum Zitat Grody MHT, Nyirjesy P, Kelley LM, Millar L (1995) Paraurethral fascial sling urethropexy and vaginal paravaginal defects cystopexy in the correction of urethrovesical prolapse. Int Urogynecol J Pelvic Floor Dysfunct 6:80–85CrossRef Grody MHT, Nyirjesy P, Kelley LM, Millar L (1995) Paraurethral fascial sling urethropexy and vaginal paravaginal defects cystopexy in the correction of urethrovesical prolapse. Int Urogynecol J Pelvic Floor Dysfunct 6:80–85CrossRef
9.
Zurück zum Zitat Elkins TE, Chesson RR, Videla F, Menefee S, Yordan R, Barksdale PA (2000) Transvaginal paravaginal repair: a useful adjunctive procedure in pelvic relaxation surgery. J Pelvic Surg 6:11–15 Elkins TE, Chesson RR, Videla F, Menefee S, Yordan R, Barksdale PA (2000) Transvaginal paravaginal repair: a useful adjunctive procedure in pelvic relaxation surgery. J Pelvic Surg 6:11–15
10.
Zurück zum Zitat Mallipeddi PK, Steele AC, Kohli N, Karram MM (2001) Anatomic and functional outcome of vaginal paravaginal repair in the correction of anterior vaginal wall prolapse. Int Urogynecol J Pelvic Floor Dysfunct 12:83–88PubMedCrossRef Mallipeddi PK, Steele AC, Kohli N, Karram MM (2001) Anatomic and functional outcome of vaginal paravaginal repair in the correction of anterior vaginal wall prolapse. Int Urogynecol J Pelvic Floor Dysfunct 12:83–88PubMedCrossRef
11.
Zurück zum Zitat Young SB, Daman JJ, Bony LG (2001) Vaginal paravaginal repair: one-year outcomes. Am J Obstet Gynecol 185:1360–1366PubMedCrossRef Young SB, Daman JJ, Bony LG (2001) Vaginal paravaginal repair: one-year outcomes. Am J Obstet Gynecol 185:1360–1366PubMedCrossRef
12.
Zurück zum Zitat Viana R, Colaço J, Vieira A, Gonçalves V, Retto H (2006) Cystocele—vaginal approach to repairing paravaginal fascial defects. Int Urogynecol J Pelvic Floor Dysfunct 17:621–623PubMedCrossRef Viana R, Colaço J, Vieira A, Gonçalves V, Retto H (2006) Cystocele—vaginal approach to repairing paravaginal fascial defects. Int Urogynecol J Pelvic Floor Dysfunct 17:621–623PubMedCrossRef
13.
Zurück zum Zitat Ward RM, Sung VW, Clemons JL, Myers DL (2007) Vaginal paravaginal repair with an AlloDerm graft: long-term outcomes. Am J Obstet Gynecol 197:670.e1–5CrossRef Ward RM, Sung VW, Clemons JL, Myers DL (2007) Vaginal paravaginal repair with an AlloDerm graft: long-term outcomes. Am J Obstet Gynecol 197:670.e1–5CrossRef
14.
Zurück zum Zitat Novi JM, Mulvihil BH, Arya L (2009) Vaginal paravaginal repair using porcine or human cadaveric dermal implant: a survival analysis. Int Surg 94:88–94PubMed Novi JM, Mulvihil BH, Arya L (2009) Vaginal paravaginal repair using porcine or human cadaveric dermal implant: a survival analysis. Int Surg 94:88–94PubMed
15.
Zurück zum Zitat Reid RI, Luo K (2011) Site-specific prolapse surgery. II. Vaginal paravaginal repair augmented with either synthetic mesh or remodelling xenograft. Int Urogynecol J Pelvic Floor Dysfunct 22:601–609CrossRef Reid RI, Luo K (2011) Site-specific prolapse surgery. II. Vaginal paravaginal repair augmented with either synthetic mesh or remodelling xenograft. Int Urogynecol J Pelvic Floor Dysfunct 22:601–609CrossRef
16.
Zurück zum Zitat Maher C, Baessler K (2006) Surgical management of anterior vaginal wall prolapse: an evidencebased literature review. Int Urogynecol J Pelvic Floor Dysfunct 17:195–201PubMedCrossRef Maher C, Baessler K (2006) Surgical management of anterior vaginal wall prolapse: an evidencebased literature review. Int Urogynecol J Pelvic Floor Dysfunct 17:195–201PubMedCrossRef
17.
Zurück zum Zitat Richardson AC, Edmonds PB, Williams NL (1981) Treatment of stress urinary incontinence due to paravaginal fascial defect. Obstet Gynecol 57:357–362PubMed Richardson AC, Edmonds PB, Williams NL (1981) Treatment of stress urinary incontinence due to paravaginal fascial defect. Obstet Gynecol 57:357–362PubMed
18.
Zurück zum Zitat Bruce RG, El-Galley RE, Galloway NT (1999) Paravaginal defect repair in the treatment of female stress urinary incontinence and cystocele. Urology 54:647–651PubMedCrossRef Bruce RG, El-Galley RE, Galloway NT (1999) Paravaginal defect repair in the treatment of female stress urinary incontinence and cystocele. Urology 54:647–651PubMedCrossRef
19.
Zurück zum Zitat Scotti RJ, Garely AD, Greston WM, Flora RF, Olson TR (1998) Paravaginal repair of lateral vaginal wall defects by fixation to the ischial periosteum and obturator membrane. Am J Obstet Gynecol 179:1436–1445PubMedCrossRef Scotti RJ, Garely AD, Greston WM, Flora RF, Olson TR (1998) Paravaginal repair of lateral vaginal wall defects by fixation to the ischial periosteum and obturator membrane. Am J Obstet Gynecol 179:1436–1445PubMedCrossRef
20.
Zurück zum Zitat Shull BL, Baden WF (1989) A six-year experience with paravaginal defect repair for stress urinary incontinence. Am J Obstet Gynecol 160:1432–1439PubMed Shull BL, Baden WF (1989) A six-year experience with paravaginal defect repair for stress urinary incontinence. Am J Obstet Gynecol 160:1432–1439PubMed
21.
Zurück zum Zitat Reid RI, You H, Luo K (2011) Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair. Int Urogynecol J Pelvic Floor Dysfunct 22:591–599CrossRef Reid RI, You H, Luo K (2011) Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair. Int Urogynecol J Pelvic Floor Dysfunct 22:591–599CrossRef
22.
Zurück zum Zitat Miklos JR, Kohli N (2000) Laparoscopic paravaginal repair plus burch colposuspension: review and descriptive technique. Urology 56:64–69PubMedCrossRef Miklos JR, Kohli N (2000) Laparoscopic paravaginal repair plus burch colposuspension: review and descriptive technique. Urology 56:64–69PubMedCrossRef
23.
Zurück zum Zitat Behnia-Willison F, Seman EI, Cook JR, O’Shea RT, Keirse MJ (2007) Laparoscopic paravaginal repair of anterior compartment prolapse. J Minim Invasive Gynecol 14:475–480PubMedCrossRef Behnia-Willison F, Seman EI, Cook JR, O’Shea RT, Keirse MJ (2007) Laparoscopic paravaginal repair of anterior compartment prolapse. J Minim Invasive Gynecol 14:475–480PubMedCrossRef
24.
Zurück zum Zitat Shippey SH, Quiroz LH, Sanses TV, Knoepp LR, Cundiff GW, Handa VL (2010) Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair. Int Urogynecol J Pelvic Floor Dysfunct 21:279–283CrossRef Shippey SH, Quiroz LH, Sanses TV, Knoepp LR, Cundiff GW, Handa VL (2010) Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair. Int Urogynecol J Pelvic Floor Dysfunct 21:279–283CrossRef
25.
Zurück zum Zitat Ouzaid I, Ben Rhouma S, de Tayrac R, Costa P, Prudhomme M, Delmas V (2010) Mini-invasive posterior sacrospinous ligament fixation using the CAPIO needle driver: an anatomical study. Prog Urol 20:515–519PubMedCrossRef Ouzaid I, Ben Rhouma S, de Tayrac R, Costa P, Prudhomme M, Delmas V (2010) Mini-invasive posterior sacrospinous ligament fixation using the CAPIO needle driver: an anatomical study. Prog Urol 20:515–519PubMedCrossRef
26.
Zurück zum Zitat Haylen BT, de Ridder D, Freeman RM et al (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct 21:5–26CrossRef Haylen BT, de Ridder D, Freeman RM et al (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct 21:5–26CrossRef
27.
Zurück zum Zitat Nieboer TE, Johnson N, Lethaby A et al (2009) Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 3:CD003677PubMed Nieboer TE, Johnson N, Lethaby A et al (2009) Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 3:CD003677PubMed
28.
Zurück zum Zitat Minassian VA, Stewart WF, Wood GC (2008) Urinary incontinence in women: variation in prevalence estimates and risk factors. Obstet Gynecol 111:324–331PubMedCrossRef Minassian VA, Stewart WF, Wood GC (2008) Urinary incontinence in women: variation in prevalence estimates and risk factors. Obstet Gynecol 111:324–331PubMedCrossRef
29.
Zurück zum Zitat Ogah J, Cody JD, Rogerson L (2009) Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev 4:CD006375PubMed Ogah J, Cody JD, Rogerson L (2009) Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev 4:CD006375PubMed
30.
Zurück zum Zitat Rehman H, Bezerra CC, Bruschini H, Cody JD (2011) Traditional suburethral sling operations for urinary incontinence in women. Cochrane Database Syst Rev 1:CD001754PubMed Rehman H, Bezerra CC, Bruschini H, Cody JD (2011) Traditional suburethral sling operations for urinary incontinence in women. Cochrane Database Syst Rev 1:CD001754PubMed
Metadaten
Titel
Feasibility and outcome of vaginal paravaginal repair using the Capio suture-capturing device
verfasst von
Umberto Leone Roberti Maggiore
Simone Ferrero
Sara Mancuso
Sergio Costantini
Publikationsdatum
01.03.2012
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 3/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1566-1

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