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Absorbable versus non-absorbable sutures for vaginal mesh attachment during sacrocolpopexy: a randomized controlled
Christl Reisenauer1, Jürgen Andress2, Birgitt Schoenfisch2
1Department of Gynecology and Obstetrics, University Hospital Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany. christl.reisenauer@med.uni-tuebingen.de.
International Urogynecology Journal
|June 8, 2021
Summary
Suture type does not impact anatomical or functional success in sacrocolpopexy for vaginal vault prolapse. Non-absorbable sutures showed a higher incidence of vaginal mesh penetration compared to absorbable sutures.
Area of Science:
- Urogynecology
- Pelvic Reconstructive Surgery
- Surgical Innovation
Background:
- Vaginal vault prolapse, often graded POPQ II-III, requires effective surgical correction.
- Sacrocolpopexy (SCP) is a common procedure utilizing mesh for vaginal vault support.
- Suture material choice for mesh fixation may influence surgical outcomes.
Purpose of the Study:
- To compare anatomical and functional outcomes of sacrocolpopexy (SCP) for vaginal vault prolapse.
- To evaluate the impact of absorbable (Vicryl) versus non-absorbable (Ethibond) sutures for vaginal mesh fixation.
Main Methods:
- A two-center randomized controlled study (RCT) involving 195 women.
- Primary outcome: anatomical success defined by vaginal apex descent <50% of total vaginal length during Valsalva.
- Secondary outcomes: functional results via questionnaires and adverse events at 6 months post-surgery.
Main Results:
- Anatomical success was achieved in 190 women (97.4%).
- No significant difference in anatomical success rates between absorbable and non-absorbable suture groups.
- Functional outcomes and symptom scores did not differ significantly between groups.
Conclusions:
- Suture type for vaginal mesh attachment in SCP does not affect anatomical success for POPQ II-III prolapse.
- Functional outcomes were comparable regardless of suture material.
- A higher incidence of vaginal mesh penetration was observed with non-absorbable sutures (Ethibond) compared to absorbable sutures (Vicryl).
