TY  - BOOK
AU  - Bradley, Sarah E
AU  - Clarke, Bayley 
AU  - Gutman, Robert E
AU  - Schirm, Karen 
AU  - Sokol, Andrew I
AU  - Woodburn, Katherine 
TI  - Assessing the Impact of Vaginal Hysterectomy with Vaginal Mesh Attachment on Outcomes and Complications During Minimally Invasive Sacrocolpopexy
SN  - 1553-4650
PY  - 2022///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - MedStar Washington Hospital Center
KW  - Female Pelvic Medicine & Reconstructive Surgery Fellowship
KW  - Obstetrics & Gynecology Residency
KW  - Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
KW  - Journal Article
N2  - CONCLUSIONS: Total vaginal hysterectomy with vaginal mesh attachment of ultra-lightweight mesh had similar adverse events, mesh exposure rates and failure rates to laparoscopic post-hysterectomy sacrocolpopexy or supracervical hysterectomy with laparoscopic mesh attachment. Copyright © 2022. Published by Elsevier Inc; DESIGN: Single center retrospective cohort study SETTING: Tertiary referral center PATIENTS: Women with symptomatic pelvic organ prolapse who elected for minimally invasive sacrocolpopexy INTERVENTIONS: Laparoscopic minimally invasive sacrocolpopexy with ultra-lightweight mesh attached vaginally during total vaginal hysterectomy, laparoscopically if post-hysterectomy or laparoscopically during supracervical hysterectomy. Composite failure was defined as recurrent prolapse symptoms, prolapse past the hymen, or retreatment for prolapse; MEASUREMENTS AND MAIN RESULTS: Between 2010 and 2017, 650 patients met inclusion criteria with 278 post-hysterectomy, 82 supracervical hysterectomy and 290 vaginal hysterectomy patients. Median follow up was similar for all groups (382 days vs 379 vs 345, p=0.31). The majority in all groups were white (66.6%), non-smokers (74.8%), postmenopausal (82.5%) and did not use estrogen (70.3%). Mesh complications did not differ between groups (1.6% post-hysterectomy, 2.5% supracervical hysterectomy, 2.2% vaginal hysterectomy, p>0.99). There was no difference in anatomic failure (5% post-hysterectomy, 1.2% supracervical hysterectomy, 2.1% vaginal hysterectomy, p=0.07), reoperation for prolapse (1.4% vs 1.2% vs 0.7%, p=0.57) or composite failure (9.0% vs 3.7% vs 4.8%, p=0.07); STUDY OBJECTIVES: To compare mesh complications and failure rates after 1 year in laparoscopic minimally invasive sacrocolpopexy with ultra-lightweight mesh attached vaginally during total vaginal hysterectomy, laparoscopically if post-hysterectomy or laparoscopically during supracervical hysterectomy
UR  - https://dx.doi.org/10.1016/j.jmig.2022.09.556
ER  -