التفاصيل البيبلوغرافية
| العنوان: |
Patient-reported outcomes after sacrospinous fixation of vault prolapse with a suturing device: a retrospective national cohort study. |
| المؤلفون: |
Campbell, Jennifer, Pedroletti, Corinne, Ekhed, Linn, Nüssler, Emil, Strandell, Annika, 1956 |
| المصدر: |
International Urogynecology Journal. 29(6):821-829 |
| مصطلحات موضوعية: |
Gynaecology, Obstetrics and Reproductive Medicine, Gynekologi, obstetrik och reproduktionsmedicin, Patient-reported outcome, Sacrospinous ligament fixation, Suturing device, Vault prolapse |
| الوصف: |
Innovations in suturing devices have facilitated sacrospinous ligament fixation (SSF) for the correction of vaginal vault prolapse. It is uncertain if outcomes using suturing devices differ from those using a traditional suturing technique. We hypothesize that no difference exists in the efficacy and safety 1year after SSF for vault prolapse performed with suturing devices or using a traditional technique. The objective was to compare SSF using a suturing device with traditional SSF for the treatment of vault prolapse, regarding symptoms of prolapse recurrence, patient satisfaction, incidence of re-operation, and complications 1year postoperatively.We carried out a retrospective cohort study using register-based national data from 2006 to 2013. The Swedish Quality Register of Gynecological Surgery includes assessments pre-operatively, at hospital admittance, surgery, discharge, and questionnaires at 8weeks and 1year after surgery. Demographic variables and surgical methods were included in multivariate logistic regression analyses.In the suturing device group (SDG, n=353), 71.5% were asymptomatic of recurrence after 1year compared with 78.7% in the traditional SSF group (TSG, n=195); risk difference-7.3% (95%CI -15.2%; 0.7%). Adjusted odds ratio (aOR) for being asymptomatic 1year postoperatively was 0.56 (95%CI 0.31; 1.02, p=0.057). Patient satisfaction was similar in SDG and TSG (78.1% vs 78.4%). Reoperation occurred in 7.4% in the SDG compared with 3.6% in the TSG, risk difference 3.8% (95%CI 0.0%; 7.5%), aOR 3.55 (95%CI 1.10; 11.44, p=0.03).Patient satisfaction was similar 1year after SSF, despite symptoms of recurrence being more likely and reoperation more common after using a suturing device compared with a traditional technique. The methods did not differ with regard to surgical complications. |
| URL الوصول: |
https://gup.ub.gu.se/publication/261444 |
| قاعدة البيانات: |
SwePub |