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Published in: Archives of Gynecology and Obstetrics 6/2024

04-05-2024 | Sacrocolpopexy | Review

Comparison between fascia lata and rectus fascia in treatment of pelvic organ prolapse: a systematic review

Authors: Luka Matak, Jan Baekelandt, Maša Šimičević, Magdalena Matak, Mislav Mikuš, Slavko Orešković

Published in: Archives of Gynecology and Obstetrics | Issue 6/2024

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Abstract

Objectives

The purpose of this systematic review is to present and compare results from studies that have been using autologous tissue for POP repair.

Methods

Systematic review was done according to the Cochrane Handbook for Systematic Reviews. We aimed to retrieve reports of published and ongoing studies on the efficacy and safety of autologous tissue in vaginal vault prolapse repair. The databases searched were MEDLINE (PubMed interface), Scopus, Cohrane Central Register of Controlled Trials (CENTRAL) and ClinicalTrials.gov.

Results

The success rate varied among studies. In fascia-lata group success rate reports varied from 83 to a 100%, with a median follow-up from 12 to 52 months among studies. Rectus fascia reported success rates from 87 to a 100% with a follow-up of 12 months to longest of 98 months.

Conclusion

Autologous tissues show satisfying outcomes in terms of safety and efficacy. Sacrocolpopexy procedure with fascia lata has better outcome in term of treatment of prolapse. Harvesting place on lateral side of buttock has more complications in comparison with rectus fascia but size of the graft can be wider in fascia-lata group.
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Metadata
Title
Comparison between fascia lata and rectus fascia in treatment of pelvic organ prolapse: a systematic review
Authors
Luka Matak
Jan Baekelandt
Maša Šimičević
Magdalena Matak
Mislav Mikuš
Slavko Orešković
Publication date
04-05-2024
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 6/2024
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-024-07531-0

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