Device Selection Contributes to Operative Time Reduction in Laparoscopic Sacrocolpopexy

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Pelvic Floor Reconstruction

Background:

• Standard laparoscopic sacrocolpopexy (LSC) involves numerous suture fixation sites, potentially increasing operative duration.
• Optimizing surgical efficiency in LSC is crucial for patient care and resource management.

Purpose of the Study:

• To evaluate the impact of utilizing devices like tackers on reducing operative time in laparoscopic sacrocolpopexy.
• To identify specific intraoperative factors associated with shorter LSC procedures.

Main Methods:

• Retrospective analysis of 82 patients undergoing LSC between May 2016 and May 2022.
• Operative times were recorded and analyzed in relation to preoperative and intraoperative factors.
• Symptom changes were assessed using questionnaires and pad weight testing.

Main Results:

• No preoperative factors significantly correlated with operative time.
• Intraoperative factors, including the number of tackers used on the posterior and anterior vaginal walls and cervix, and mesh retroperitonealization device use, were significantly associated with operative time.
• The use of tackers and mesh retroperitonealization devices correlated with shorter operative times.

Conclusions:

• The adoption of user-friendly devices, such as tackers and those for mesh retroperitonealization, can effectively shorten operative times in laparoscopic sacrocolpopexy.
• Simplifying fixation techniques through device utilization enhances surgical efficiency in LSC procedures.