Sacrospinous colpopexy using Masson luethy needle holder

Area of Science:

• Urogynecology
• Pelvic reconstructive surgery
• Surgical innovation

Background:

• Sacrospinous colpopexy (SSC) is a key surgical procedure for apical support defects.
• Suture placement during SSC can be technically challenging, impacting operative efficiency.
• Existing methods for suture placement may prolong surgery and increase blood loss.

Purpose of the Study:

• To evaluate the efficacy and safety of using the Masson luethy needle holder for suture placement in SSC.
• To compare the operative time and blood loss associated with the Masson luethy needle holder versus the Deschamps ligature carrier.
• To determine if the Masson luethy needle holder simplifies the SSC procedure.

Main Methods:

• A prospective study comparing SSC using the Masson luethy needle holder (Group I) with the Deschamps ligature carrier (Group II).
• 104 women with uterovaginal prolapse or post-hysterectomy vaginal vault prolapse were enrolled.
• Key outcomes measured included operative time, blood loss, complications, recurrence, and cure rates.

Main Results:

• Group I (Masson luethy needle holder) had significantly shorter mean operative time (109±33 min) compared to Group II (206±67 min).
• Suture placement time was markedly reduced in Group I (47±14 min) versus Group II (153±46 min).
• Mean operative blood loss was significantly lower in Group I (582±349 ml) than in Group II (985±463 ml).
• Perioperative complications, recurrence, and cure rates were comparable between the two groups.

Conclusions:

• The Masson luethy needle holder streamlines suture placement during SSC.
• This technique leads to a significant reduction in overall operative time for sacrospinous colpopexy.
• The Masson luethy needle holder offers a more efficient and less bloody alternative for SSC procedures.