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International Urogynecology Journal

Published in:

01-03-2012 | Original Article

Feasibility and outcome of vaginal paravaginal repair using the Capio suture-capturing device

Authors: Umberto Leone Roberti Maggiore, Simone Ferrero, Sara Mancuso, Sergio Costantini

Published in: International Urogynecology Journal | Issue 3/2012

Abstract

Introduction and hypothesis

This investigation describes the feasibility and outcome of vaginal paravaginal repair (VPVR) performed using the Capio™ suture-capturing device.

Methods

This prospective study included 36 women with paravaginal fascial defects, symptomatic stage II to IV anterior vaginal wall prolapse, and uterine prolapse equal or more than stage 2. VPVR was performed using the Capio device. In addition, anterior colporrhaphy, posterior colporrhaphy, and vaginal hysterectomy were performed.

Results

The mean time required to perform the VPVR was 12.9 min (range, 11–18 min). The median blood loss during the VPVR was 35 ml (range, 20–65 ml). There were no major intraoperative complications. At 2-year follow-up, the rate of recurrent anterior vaginal wall prolapse (stage ≥2) was 8.6%.

Conclusions

VPVR performed using the Capio device is associated with minimal dissection of the tissues, blood loss, and operating time and has low recurrence rate at 2-year follow-up.

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Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186:1160–1166PubMedCrossRef

Chen L, Ashton-Miller JA, DeLancey JO (2009) A 3D finite element model of anterior vaginal wall support to evaluate mechanisms underlying cystocele formation. J Biomech 42:1371–1377PubMedCrossRef

White GR (1909) Cystocele. JAMA 853:1707–1710CrossRef

Richardson AC, Lyon JB, Williams NL (1976) A new look at pelvic relaxation. Am J Obstet Gynecol 126:568–573PubMed

Richardson AC, Saye WB, Miklos JR (1997) Repairing paravaginal defects laparoscopically. Contemp Obstet Gynecol 42:125–130

White GR (1912) An anatomic operation for the cure of cistocele. Am J Obstet Dis Women Children 126:568

Shull BL, Benn SJ, Kuehl TJ (1994) Surgical management of prolapse of the anterior vaginal segment: an analysis of support defects, operative morbidity, and anatomic outcome. Am J Obstet Gynecol 171:1429–1436PubMed

Grody MHT, Nyirjesy P, Kelley LM, Millar L (1995) Paraurethral fascial sling urethropexy and vaginal paravaginal defects cystopexy in the correction of urethrovesical prolapse. Int Urogynecol J Pelvic Floor Dysfunct 6:80–85CrossRef

Elkins TE, Chesson RR, Videla F, Menefee S, Yordan R, Barksdale PA (2000) Transvaginal paravaginal repair: a useful adjunctive procedure in pelvic relaxation surgery. J Pelvic Surg 6:11–15

10.

Mallipeddi PK, Steele AC, Kohli N, Karram MM (2001) Anatomic and functional outcome of vaginal paravaginal repair in the correction of anterior vaginal wall prolapse. Int Urogynecol J Pelvic Floor Dysfunct 12:83–88PubMedCrossRef

11.

Young SB, Daman JJ, Bony LG (2001) Vaginal paravaginal repair: one-year outcomes. Am J Obstet Gynecol 185:1360–1366PubMedCrossRef

12.

Viana R, Colaço J, Vieira A, Gonçalves V, Retto H (2006) Cystocele—vaginal approach to repairing paravaginal fascial defects. Int Urogynecol J Pelvic Floor Dysfunct 17:621–623PubMedCrossRef

13.

Ward RM, Sung VW, Clemons JL, Myers DL (2007) Vaginal paravaginal repair with an AlloDerm graft: long-term outcomes. Am J Obstet Gynecol 197:670.e1–5CrossRef

14.

Novi JM, Mulvihil BH, Arya L (2009) Vaginal paravaginal repair using porcine or human cadaveric dermal implant: a survival analysis. Int Surg 94:88–94PubMed

15.

Reid RI, Luo K (2011) Site-specific prolapse surgery. II. Vaginal paravaginal repair augmented with either synthetic mesh or remodelling xenograft. Int Urogynecol J Pelvic Floor Dysfunct 22:601–609CrossRef

16.

Maher C, Baessler K (2006) Surgical management of anterior vaginal wall prolapse: an evidencebased literature review. Int Urogynecol J Pelvic Floor Dysfunct 17:195–201PubMedCrossRef

17.

Richardson AC, Edmonds PB, Williams NL (1981) Treatment of stress urinary incontinence due to paravaginal fascial defect. Obstet Gynecol 57:357–362PubMed

18.

Bruce RG, El-Galley RE, Galloway NT (1999) Paravaginal defect repair in the treatment of female stress urinary incontinence and cystocele. Urology 54:647–651PubMedCrossRef

19.

Scotti RJ, Garely AD, Greston WM, Flora RF, Olson TR (1998) Paravaginal repair of lateral vaginal wall defects by fixation to the ischial periosteum and obturator membrane. Am J Obstet Gynecol 179:1436–1445PubMedCrossRef

20.

Shull BL, Baden WF (1989) A six-year experience with paravaginal defect repair for stress urinary incontinence. Am J Obstet Gynecol 160:1432–1439PubMed

21.

Reid RI, You H, Luo K (2011) Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair. Int Urogynecol J Pelvic Floor Dysfunct 22:591–599CrossRef

22.

Miklos JR, Kohli N (2000) Laparoscopic paravaginal repair plus burch colposuspension: review and descriptive technique. Urology 56:64–69PubMedCrossRef

23.

Behnia-Willison F, Seman EI, Cook JR, O’Shea RT, Keirse MJ (2007) Laparoscopic paravaginal repair of anterior compartment prolapse. J Minim Invasive Gynecol 14:475–480PubMedCrossRef

24.

Shippey SH, Quiroz LH, Sanses TV, Knoepp LR, Cundiff GW, Handa VL (2010) Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair. Int Urogynecol J Pelvic Floor Dysfunct 21:279–283CrossRef

25.

Ouzaid I, Ben Rhouma S, de Tayrac R, Costa P, Prudhomme M, Delmas V (2010) Mini-invasive posterior sacrospinous ligament fixation using the CAPIO needle driver: an anatomical study. Prog Urol 20:515–519PubMedCrossRef

26.

Haylen BT, de Ridder D, Freeman RM et al (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct 21:5–26CrossRef

27.

Nieboer TE, Johnson N, Lethaby A et al (2009) Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 3:CD003677PubMed

28.

Minassian VA, Stewart WF, Wood GC (2008) Urinary incontinence in women: variation in prevalence estimates and risk factors. Obstet Gynecol 111:324–331PubMedCrossRef

29.

Ogah J, Cody JD, Rogerson L (2009) Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev 4:CD006375PubMed

30.

Rehman H, Bezerra CC, Bruschini H, Cody JD (2011) Traditional suburethral sling operations for urinary incontinence in women. Cochrane Database Syst Rev 1:CD001754PubMed

Title: Feasibility and outcome of vaginal paravaginal repair using the Capio suture-capturing device
Authors: Umberto Leone Roberti Maggiore
Simone Ferrero
Sara Mancuso
Sergio Costantini
Publication date: 01-03-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1566-1

At a glance: The STEP trials

Springer Medicine

Feasibility and outcome of vaginal paravaginal repair using the Capio suture-capturing device

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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