دورية أكاديمية
أعرض في EDS

Does variation of surgical technique affect native tissue anterior pelvic organ prolapse repair outcomes?

التفاصيل البيبلوغرافية
العنوان: Does variation of surgical technique affect native tissue anterior pelvic organ prolapse repair outcomes?
المؤلفون: Fairclough E; Warrell Unit, St Mary's Hospital, Manchester Foundation Trust, Oxford Road, Manchester, M13 9WL, UK.; Maternal & Fetal Health Research Centre, Manchester Academic Health Centre, University of Manchester, Manchester, M13 9WL, UK., Segar J; Institute of Population Health, University of Manchester, Oxford Road, Manchester, M13 9PL, UK., Breeman S; Health Services Research Unit, University of Aberdeen, 3rd Floor, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD, UK., Smith A; Warrell Unit, St Mary's Hospital, Manchester Foundation Trust, Oxford Road, Manchester, M13 9WL, UK.; Maternal & Fetal Health Research Centre, Manchester Academic Health Centre, University of Manchester, Manchester, M13 9WL, UK., Myers J; Maternal & Fetal Health Research Centre, Manchester Academic Health Centre, University of Manchester, Manchester, M13 9WL, UK., Reid F; Warrell Unit, St Mary's Hospital, Manchester Foundation Trust, Oxford Road, Manchester, M13 9WL, UK. Fiona.Reid@mft.nhs.uk.; Maternal & Fetal Health Research Centre, Manchester Academic Health Centre, University of Manchester, Manchester, M13 9WL, UK. Fiona.Reid@mft.nhs.uk.
المصدر: International urogynecology journal [Int Urogynecol J] 2024 Jan; Vol. 35 (1), pp. 51-58. Date of Electronic Publication: 2023 Jul 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: England NLM ID: 101567041 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-3023 (Electronic) Linking ISSN: 09373462 NLM ISO Abbreviation: Int Urogynecol J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Springer
مواضيع طبية MeSH: Colpotomy*/methods , Pelvic Organ Prolapse*/surgery, Female ; Humans ; Surgeons ; Surgical Flaps ; Treatment Outcome ; Randomized Controlled Trials as Topic
مستخلص: Introduction and Hypothesis: The Variation in Surgical Technique study (VaST), demonstrated the large variation in surgical techniques used in native tissue (NT) anterior pelvic organ prolapse (POP) repairs. However, there are few comparative studies of different surgical techniques. This study was aimed at exploring whether surgical technique influenced the outcomes of NT anterior POP repairs.
Methods: The surgical techniques of 22 consultant surgeons performing NT anterior POP repairs were filmed and categorised. These surgeons performed 809 anterior repairs within the PROlapse Surgery: Pragmatic Evaluation and randomised Controlled Trial (PROSPECT). Logistical regression models were used to determine the influence of the different surgical techniques on subjective and objective outcomes, using data collected during PROSPECT.
Results: In adjusted multivariate linear regression models, fascial-flap repair was associated with an improved subjective outcome (POP-SS) compared with midline plication (β = -2.50 [-4.42 to -0.57]; p = 0.01). At 12 months, separate fascial defect repair was associated with a poorer objective outcome than midline plication (OR 6.06 [1.82-3.52], p = 0.006). At 24 months, deep dissection was associated with a poorer POP-SS than superficial dissection (0.32-2.60, p = 0.0). Continuous-locking closure of the skin was also associated with improved POP-SS compared with continuous non-locking closure (12 months: β = -1.94 [-3.42 to -0.45], p = 0.01).
Conclusion: Surgical technique may influence the outcome of native tissue anterior POP repairs. Our results should not change practice but inform future research; to develop methods of explicitly recording surgical techniques and allow confirmation of the effect of these aspects of technique on outcome.
(© 2023. The Author(s).)
References: White GR. Cystocele–a radical cure by suturing lateral sulci of the vagina to the white line of pelvic fascia. 1909. Int Urogynecol J Pelvic Floor Dysfunct. 1997;8:288–92. https://doi.org/10.1001/jama.1909.92550210001001b . (PMID: 10.1001/jama.1909.92550210001001b9557993)
Colombo M, Vitobello D, Proietti F, Milani R. Randomised comparison of Burch colposuspension versus anterior colporrhaphy in women with stress urinary incontinence and anterior vaginal wall prolapse. BJOG. 2000;107:544–51. https://doi.org/10.1111/j.1471-0528.2000.tb13276.x . (PMID: 10.1111/j.1471-0528.2000.tb13276.x10759276)
Altman D, Väyrynen T, Engh ME, et al. Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse. Int Braz J Urol. 2011;37:675. (PMID: 10.1590/S1677-55382011000500028)
Glazener CM, Breeman S, Elders A, et al. Mesh, graft, or standard repair for women having primary transvaginal anterior or posterior compartment prolapse surgery: two parallel-group, multicentre, randomised, controlled trials (PROSPECT). Lancet. 2017;389:381–92. https://doi.org/10.1016/S0140-6736(16)31596-3 . (PMID: 10.1016/S0140-6736(16)31596-328010989)
Cumberlege J. First do no harm. The Report of the Independent Medicines and Medical Devices Safety Review. London; 2020. p. 1–277.  https://www.immdsreview.org.uk/downloads/IMMDSReview_Web.pdf.
Tawfeek S, Barrington J. How are anterior repairs carried out in the UK? J Obstet Gynaecol. 2006;26:650–5. https://doi.org/10.1080/01443610600913809 . (PMID: 10.1080/0144361060091380917071433)
Lensen EJM, Stoutjesdijk JA, Withagen MIJ, et al. Technique of anterior colporrhaphy: a Dutch evaluation. Int Urogynecol J Pelvic Floor Dysfunct. 2011;22:557–61. https://doi.org/10.1007/s00192-010-1353-4 . (PMID: 10.1007/s00192-010-1353-4)
Fairclough E, Myers J, Smith ARB, et al. A UK questionnaire survey of current techniques used to perform pelvic organ prolapse repair. Int Urogynecol J. 2017;28(9):1367–76. https://doi.org/10.1007/s00192-017-3273-z. (PMID: 10.1007/s00192-017-3273-z281500295569116)
Shippey S, Gutman RE, Quiroz LH, Handa VL. Contemporary approaches to cystocele repair: a survey of AUGS members. J Reprod Med. 2008;53:832–6. (PMID: 19097515)
Weber AM, Walters MD, Piedmonte MR, Ballard LA. Anterior colporrhaphy: a randomized trial of three surgical techniques. Am J Obstet Gynecol. 2001;185:1299–306. https://doi.org/10.1067/mob.2001.119081 . (PMID: 10.1067/mob.2001.11908111744900)
Fairclough E, Segar J, Myers J, Smith A, Reid F. Surgical technique used in the UK for native tissue anterior pelvic organ prolapse repair (VaST). Int Urogynecol J. 2020;31:1519–25. https://doi.org/10.1007/s00192-021-04671-8 . (PMID: 10.1007/s00192-021-04671-831520091)
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101. (PMID: 10.1191/1478088706qp063oa)
Hagen S, Glazener C, Sinclair L, et al. Psychometric properties of the pelvic organ prolapse symptom score. BJOG. 2009;116:25–31. https://doi.org/10.1111/j.1471-0528.2008.01903.x . (PMID: 10.1111/j.1471-0528.2008.01903.x18947342)
Swift S, Woodman P, O’Boyle A, et al. Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol. 2005;192:795–806. https://doi.org/10.1016/j.ajog.2004.10.602 . (PMID: 10.1016/j.ajog.2004.10.60215746674)
Barber M, Brubaker L, Nygaard IWT. Defining success after surgery for pelvic organ prolapse Matthew. Obstet Gynecol. 2009;114:600–9. https://doi.org/10.1016/j.pestbp.2011.02.012.Investigations . (PMID: 10.1016/j.pestbp.2011.02.012.Investigations197010412904469)
Chmielewski L, Walters MD, Weber AM, Barber MD. Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success. Am J Obstet Gynecol. 2011;205:69.e1–8. https://doi.org/10.1016/j.ajog.2011.03.027 . (PMID: 10.1016/j.ajog.2011.03.02721545996)
Latthe P, Kadian S, Parsons M, Toozs-Hobson P. Survey of use of local infiltration and vasoconstrictors in vaginal surgery. Gynecol Surg. 2007;4:187–9. https://doi.org/10.1007/s10397-007-0289-2 . (PMID: 10.1007/s10397-007-0289-2)
Madhuvrata P, Glazener C, Boachie C, et al. A randomised controlled trial evaluating the use of polyglactin (Vicryl) mesh, polydioxanone (PDS) or polyglactin (Vicryl) sutures for pelvic organ prolapse surgery: outcomes at 2 years. J Obstet Gynaecol. 2011;31:429–35. https://doi.org/10.3109/01443615.2011.576282 . (PMID: 10.3109/01443615.2011.57628221627429)
Maguire T, Mayne C, Willars J, Tincello D. The effect of vaginal closure technique on early post-operative pain following vaginal prolapse surgery: a feasibility pilot study and qualitative assessment. Springerplus. 2014;3:1. https://doi.org/10.1186/2193-1801-3-1 . (PMID: 10.1186/2193-1801-3-1244221853887222)
Thiagamoorthy G, Khalil A, Cardozo L, et al. The value of vaginal packing in pelvic floor surgery: a randomised double-blind study. Int Urogynecol J Pelvic Floor Dysfunct. 2014;25:585–91. https://doi.org/10.1007/s00192-013-2264-y . (PMID: 10.1007/s00192-013-2264-y)
Muffly TM, Barber MD. Insertion and removal of vaginal mesh for pelvic organ prolapse. Clin Obstet Gynecol. 2010;53:99–114. https://doi.org/10.1097/GRF.0b013e3181cefab8 . (PMID: 10.1097/GRF.0b013e3181cefab8)
فهرسة مساهمة: Keywords: Native tissue; Outcome; Pelvic organ prolapse; Technique
تواريخ الأحداث: Date Created: 20230721 Date Completed: 20240205 Latest Revision: 20240210
رمز التحديث: 20240210
مُعرف محوري في PubMed: PMC10811059
DOI: 10.1007/s00192-023-05584-4
PMID: 37477667
قاعدة البيانات: MEDLINE
الوصف
تدمد:1433-3023
DOI:10.1007/s00192-023-05584-4