{"title":"骶棘韧带固定时不同缝合技术并发症发生率的比较:系统回顾和荟萃分析。","authors":"Elaheh Amiri, Parvin Bastani, Fatemeh Mallah, Helia Mostafaei, Hanieh Salehi-Pourmehr","doi":"10.1007/s00404-024-07788-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study was designed to assess the complications raised in different suture-passing techniques when fixating the Sacrospinous ligament for pelvic organ prolapse (POP).</p><p><strong>Search strategy: </strong>We searched PubMed, Embase, Scopus, Web of Sciences, ProQuest, Google Scholar, and Cochrane Library, and performed a systematic review meta-analysis to assess complications when implementing different suture passings in fixating the sacrospinous ligament.</p><p><strong>Selection criteria: </strong>The inclusion and exclusion criteria for literature screening were predetermined to allow for a more rigorous process. Interventions should include sacrospinous fixation (SSF) as a point of attachment for POP. To eliminate confounding bias and effect modification, at least one arm must include SSLF without mesh or graft.</p><p><strong>Data collection and analysis: </strong>The primary endpoint used was the need for reoperation, nerve injury, hematoma, and the need for blood transfusion. The secondary endpoint was study screening. For eligible articles, data were extracted and summarized independently by two reviewers.</p><p><strong>Main results: </strong>The systemic review used the data from 125 studies, including 10,216 cases. The reoperation rate was 1.2% overall, with higher rates in the Shutt Suture Punch System, Laurus, and Anchorsure. The nerve injury rate was 3.8%, with Capio having the highest rate. The hematoma rate was 1.7%, with Laurus and Raz anchoring showing higher rates. Blood transfusion rates were higher with Modified Deschamps and Deschamps devices.</p><p><strong>Conclusions: </strong>Complications related to suture passing are increased when suture capturing is the method applied in passing the suture through the sacrospinous ligament.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of the complications rate of different suture-passing techniques at the time of sacrospinous ligament fixation: a systematic review and meta-analysis.\",\"authors\":\"Elaheh Amiri, Parvin Bastani, Fatemeh Mallah, Helia Mostafaei, Hanieh Salehi-Pourmehr\",\"doi\":\"10.1007/s00404-024-07788-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study was designed to assess the complications raised in different suture-passing techniques when fixating the Sacrospinous ligament for pelvic organ prolapse (POP).</p><p><strong>Search strategy: </strong>We searched PubMed, Embase, Scopus, Web of Sciences, ProQuest, Google Scholar, and Cochrane Library, and performed a systematic review meta-analysis to assess complications when implementing different suture passings in fixating the sacrospinous ligament.</p><p><strong>Selection criteria: </strong>The inclusion and exclusion criteria for literature screening were predetermined to allow for a more rigorous process. 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引用次数: 0
摘要
研究目的本研究旨在评估在固定骶棘韧带治疗盆腔脏器脱垂(POP)时不同缝合技术引起的并发症:我们检索了PubMed、Embase、Scopus、Web of Sciences、ProQuest、Google Scholar和Cochrane图书馆,并进行了系统性回顾荟萃分析,以评估在固定骶棘韧带时采用不同缝合方式所引起的并发症:文献筛选的纳入和排除标准是预先确定的,以便进行更严格的筛选。干预措施应包括将骶棘固定(SSF)作为 POP 的附着点。为消除混杂偏倚和效应修饰,至少有一个臂必须包括不含网片或移植物的骶棘固定术:数据收集与分析:主要终点是再次手术、神经损伤、血肿和输血的需要。次要终点是研究筛选。对于符合条件的文章,由两名审稿人独立进行数据提取和总结:主要结果:系统性综述使用了 125 项研究的数据,包括 10,216 个病例。总的再手术率为1.2%,其中Shutt缝合打孔系统、Laurus和Anchorsure的再手术率较高。神经损伤率为 3.8%,其中 Capio 的神经损伤率最高。血肿发生率为 1.7%,其中 Laurus 和 Raz 固定的发生率较高。改良德尚和德尚装置的输血率较高:结论:当采用缝合捕捉法将缝线穿过骶棘韧带时,与缝线穿过相关的并发症会增加。
Comparison of the complications rate of different suture-passing techniques at the time of sacrospinous ligament fixation: a systematic review and meta-analysis.
Objective: This study was designed to assess the complications raised in different suture-passing techniques when fixating the Sacrospinous ligament for pelvic organ prolapse (POP).
Search strategy: We searched PubMed, Embase, Scopus, Web of Sciences, ProQuest, Google Scholar, and Cochrane Library, and performed a systematic review meta-analysis to assess complications when implementing different suture passings in fixating the sacrospinous ligament.
Selection criteria: The inclusion and exclusion criteria for literature screening were predetermined to allow for a more rigorous process. Interventions should include sacrospinous fixation (SSF) as a point of attachment for POP. To eliminate confounding bias and effect modification, at least one arm must include SSLF without mesh or graft.
Data collection and analysis: The primary endpoint used was the need for reoperation, nerve injury, hematoma, and the need for blood transfusion. The secondary endpoint was study screening. For eligible articles, data were extracted and summarized independently by two reviewers.
Main results: The systemic review used the data from 125 studies, including 10,216 cases. The reoperation rate was 1.2% overall, with higher rates in the Shutt Suture Punch System, Laurus, and Anchorsure. The nerve injury rate was 3.8%, with Capio having the highest rate. The hematoma rate was 1.7%, with Laurus and Raz anchoring showing higher rates. Blood transfusion rates were higher with Modified Deschamps and Deschamps devices.
Conclusions: Complications related to suture passing are increased when suture capturing is the method applied in passing the suture through the sacrospinous ligament.
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.