Post-operative outcomes associated with anterior mesh location after laparoscopic sacrocolpopexy

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Archives of Gynecology and Obstetrics Pub Date : 2024-09-25 DOI:10.1007/s00404-024-07719-4
Nassir Habib, Matteo Giorgi, Tania Tahtouh, Amel Hamdi, Gabriele Centini, Alberto Cannoni, Georges Bader
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Abstract

Objective

To investigate the relationship between the anatomical position of the anterior arm of the mesh, measured by ultrasound through the bladder neck–mesh distance technique and the surgical outcomes after laparoscopic sacrocolpopexy (SCP) for apical prolapse.

Study design

It was a retrospective analysis of prospectively collected data in a tertiary care hospital. Between January 2019 and September 2019, 63 women who underwent laparoscopic SCP due to apical prolapse were included. Bladder neck–mesh distance was measured immediately after surgery. The pelvic floor was evaluated using the Pelvic Organ Prolapse Quantification (POP-Q) System before, 1 month, and 2.7 years (mid-term) after the surgery. Post-operative stress urinary incontinence (SUI) and Patient Global Impression of Improvement (PGI-I) scores were also assessed. The correlation between bladder neck–mesh distance and the post-operative outcomes was investigated using the Spearman rank correlation coefficient.

Results

At mid-term follow-up visit, bladder neck–mesh distance was inversely correlated with the correction of apical prolapse and post-operative SUI. No correlation was detected with the anterior compartment prolapse correction. PGI-I scores were high in all patients at mid-term follow-up, irrespective of bladder neck–mesh distance values.

Conclusion

The shorter the bladder neck–mesh distance, the better the outcome for apical compartment repair. Bladder neck–mesh distance had no correlation with the anterior anatomical correction. Shorter bladder neck–mesh distance values were positively correlated to better PGI-I scores and a higher risk of SUI.

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腹腔镜骶尾部结肠切除术后与网片前部位置相关的术后效果。
目的通过膀胱颈-网片距离技术,用超声波测量网片前臂的解剖位置,研究网片前臂的解剖位置与腹腔镜骶尾部脱垂(SCP)术后手术效果之间的关系:研究设计:这是对一家三级医院前瞻性收集数据的回顾性分析。纳入了2019年1月至2019年9月期间,63名因子宫尖脱垂而接受腹腔镜骶骨外翻术(SCP)的女性。术后立即测量膀胱颈-网眼距离。在术前、术后1个月和术后2.7年(中期),使用盆腔器官脱垂定量(POP-Q)系统对盆底进行评估。此外,还对术后压力性尿失禁(SUI)和患者总体改善印象(PGI-I)评分进行了评估。使用斯皮尔曼等级相关系数研究了膀胱颈-网眼距离与术后结果之间的相关性:结果:在中期随访中,膀胱颈网距离与顶端脱垂矫正和术后 SUI 成反比。与前室脱垂矫治无相关性。无论膀胱颈网距离值如何,中期随访时所有患者的PGI-I评分都很高:结论:膀胱颈-网眼距离越短,顶腔修复的效果越好。结论:膀胱颈网眼距离越短,顶腔修复的效果越好。膀胱颈网眼距离与前部解剖矫正没有相关性。较短的膀胱颈网距离值与较好的 PGI-I 评分和较高的 SUI 风险呈正相关。
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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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