E-Posters-Recurrence of Apical Prolapse: Comparison between Absorbable and non-Absorbable Sutures

Recurrence of Apical Prolapse: Comparison between Absorbable and non-Absorbable Sutures - Fabiola A Schlageter, MD

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The objective of this study was to compare the recurrence of apical prolapse after two different types of surgery using absorbable and non-absorbable sutures. The retrospective analysis included patients who underwent vaginal uterosacral ligament suspension (USLS) and sacrospinous ligament fixation (SSLF) from 2006 to 2019. The primary outcome measure was apical correction failure, which was analyzed based on subjective complaints of prolapse, descent of more than 50% of the total vaginal length, and reoperation for apical prolapse. The demographics, surgery details, and follow-up time were also analyzed.<br /><br />The study included 73 patients who met the inclusion criteria. Of these, 36% had absorbable sutures and 64% had non-absorbable sutures. The study found that using only absorbable sutures had similar outcomes in the medium term compared to non-absorbable sutures for vaginal apical prolapse surgery. The results showed that the primary outcome was not statistically different between the two groups (12% for absorbable sutures vs 21% for non-absorbable sutures).<br /><br />However, the study acknowledges that it may be underpowered to demonstrate differences between the two groups. The time to recurrence was shorter for absorbable sutures compared to non-absorbable sutures.<br /><br />In multivariable logistic regression analyses, no predictive factors were identified for the composite outcome between the two types of sutures.<br /><br />The study concludes that vaginal apical prolapse surgery using only absorbable sutures has similar outcomes in the medium term compared to non-absorbable sutures. However, further research with a larger sample size is needed to confirm these findings.<br /><br />Contact information for the researchers is provided for any additional inquiries.

Keywords

recurrence

apical prolapse

surgery

absorbable sutures

non-absorbable sutures

vaginal uterosacral ligament suspension

sacrospinous ligament fixation

apical correction failure

medium term outcomes

multivariable logistic regression