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Capio slim suture capturing device for transvaginal apical pelvic organ prolapse
Paolo Luffarelli1, Kiara Sejfullai1, Costanza Mazzola1
1Department of Pelvic Floor Surgery and Proctology, Fondazione Policlinico Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Italy.
Objective:
Pelvic organ prolapse is an extremely common condition, with approximately 12% of women requiring surgical correction over their lifetime. This is the first study comparing standard technique with Capio device with a prolonged follow-up. The aim of this study was to describe a standardization technique and its efficacy to treat vaginal vault prolapse based on Capio device to sacrospinous ligament (SSL) suspension in comparison to the well-known and described "Capio-free" standard technique (ST).
Materials And Methods:
From January 2016 to January 2022, we retrospectively evaluated 163 women undergoing surgery to treat apical vaginal prolapse with ST and/or Capio technique (CT) at two high-volume centers.
Results:
ST mean operative time resulted to be longer in comparison to the CT (98 ± 22.6 m vs 86 ± 17.4 m, p < 0.001). Mean intraoperative bleeding, hospital stay, and indwelling catheter resulted to be comparable between the two groups (all p > 0.05).
Conclusion:
The CT used to treat women with vaginal vault prolapse was effective, secure, easy to perform, and associated with low risks of bleeding, perineal pain, vessel injuries and recurrent prolapse. The shorter operative time observed in surgery performed with Capio device, could suggest an implementation of such technique due to the overlapping complications, prolapse recurrence and postoperative quality of life.
