TY  - BOOK
AU  - Carter, Charelle M
AU  - Gutman, Robert E
AU  - Iglesia, Cheryl B
AU  - Nosti, Patrick A
AU  - Park, Amy J
AU  - Sokol, Andrew I
AU  - Tefera, Eshetu
TI  - Transvaginal Versus Transabdominal Placement of Synthetic Mesh at Time of Sacrocolpopexy
SN  - 2151-8378
PY  - 2016///
KW  - *Hysterectomy, Vaginal/mt [Methods]
KW  - *Pelvic Organ Prolapse/su [Surgery]
KW  - *Surgical Mesh/ae [Adverse Effects]
KW  - Adult
KW  - Aged
KW  - Female
KW  - Follow-Up Studies
KW  - Humans
KW  - Intraoperative Complications
KW  - Laparoscopy
KW  - Middle Aged
KW  - Operative Time
KW  - Postoperative Complications
KW  - Postoperative Period
KW  - Prospective Studies
KW  - Retrospective Studies
KW  - Risk Factors
KW  - Vagina/su [Surgery]
KW  - MedStar Health Research Institute
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology
KW  - Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
KW  - Journal Article
N2  - CONCLUSIONS: There was no difference in mesh-related complications between groups (1.6% TVH-LSC vs 1.7% LSH-LSC; P = 1.0). Vaginal mesh attachment during TVH-LSC decreased operative time by over 1 hour with no differences in intraoperative complications, reoperation for recurrent prolapse, and subjective or objective outcomes compared to LSH-LSC; METHODS: We performed a retrospective cohort study with prospective follow-up for patients with uterovaginal prolapse who underwent TVH-LSC or LSH-LSC from June 2008 to July 2012. We collected baseline demographics, mesh-related complications, intraoperative and postoperative complications, and pelvic organ prolapse quantification data. We contacted patients postoperatively for telephone interviews and to request a return to the office for repeat examination; OBJECTIVES: Our primary aim was to compare mesh-related complications at the time of total vaginal hysterectomy with laparoscopic sacrocolpopexy (TVH-LSC) versus laparoscopic placement of sacrocolpopexy mesh at time of laparoscopic supracervical hysterectomy (LSH-LSC). Our secondary aim was to compare operative time, intraoperative and postoperative complications, as well as subjective and objective success between these groups; RESULTS: One hundred eighty-two patients were included: 123 TVH-LSC and 59 LSH-LSC. There was no difference in the rate of mesh-related complications (1.6% [2/123]; 95% confidence interval, 0-3.86% vs 1.7% [1/59]; 95% confidence interval, 0-4.99%; P = 1.0). Median examination follow-up was similar between groups (9 (2-17) months TVH-LSC vs 9 (2-17) months LSH-LSC, P = 1.0).The TVH-LSC was associated with a significantly shorter operative time (256 +/- 53 vs 344 +/- 81 minutes; P < 0.01). There were no differences in intraoperative or postoperative complications or subjective and objective success between groups
UR  - https://dx.doi.org/10.1097/SPV.0000000000000222
ER  -