Annals of Saudi medicine · 2026
Fascial fixation versus non-fixation in vNOTES lateral suspension after vaginal hysterectomy for pelvic organ prolapse.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bacak Havva Betül, Coşkun Enes Serhat, Kumbasar Serkan, Terkan Hayat, Pınar Pelin, Bulut Aybüke, Bulut Batuhan, İrice Fatih, Aldanmaz Barışcan, Deligözoğlu Sinem, Salman Süleyman
Аннотация
BACKGROUND: Mesh-based vNOTES lateral suspension is an emerging minimally invasive technique for apical pelvic organ prolapse repair, but the clinical value of fascial fixation of the lateral mesh arms remains unclear.
OBJECTIVES: To compare 12-month anatomical outcomes and recurrence rates between fascial fixation and non-fixation of the lateral mesh arms during mesh-based vNOTES lateral suspension after vaginal hysterectomy.
DESIGN: Retrospective comparative study.
SETTINGS: Tertiary referral center.
PATIENTS AND METHODS: We reviewed women who underwent vaginal hysterectomy combined with mesh-based vNOTES lateral suspension for pelvic organ prolapse between March 2022 and March 2026. Patients were grouped according to whether the lateral mesh arms were fixed to the fascia. Preoperative and 12-month postoperative Pelvic Organ Prolapse Quantification (POP-Q) measurements, recurrence, perioperative outcomes, postoperative complications, and mesh erosion were evaluated.
MAIN OUTCOME MEASURES: The primary outcome was recurrence at 12 months, defined as POP-Q point C >-1 cm, reflecting clinically significant apical prolapse. Secondary outcomes included POP-Q values and change scores, operative time, estimated blood loss, length of hospital stay, complications, and mesh erosion.
SAMPLE SIZE: 101 patients; 46 in the non-fixation group and 55 in the fixation group.
RESULTS: Both groups demonstrated significant improvement in all evaluated POP-Q points at 12 months compared with baseline (P<.001). Recurrence occurred in four patients (8.7%) in the non-fixation group and four patients (7.3%) in the fixation group (P=1.0). Operative time, estimated blood loss, and length of hospital stay were comparable between groups (P=.347, P=.187, and P=.274, respectively). Similarly, no significant between-group differences were observed in perioperative complications (P=.59), postoperative complications (P=.426), or mesh erosion (P=1.0).
CONCLUSIONS: Fascial fixation of the lateral mesh arms was not associated with improved short-term anatomical, perioperative, or postoperative outcomes at 12 months following mesh-based vNOTES lateral suspension after vaginal hysterectomy.
LIMITATIONS: Retrospective design, single-center setting, modest sample size, and 12-month follow-up period.
OBJECTIVES: To compare 12-month anatomical outcomes and recurrence rates between fascial fixation and non-fixation of the lateral mesh arms during mesh-based vNOTES lateral suspension after vaginal hysterectomy.
DESIGN: Retrospective comparative study.
SETTINGS: Tertiary referral center.
PATIENTS AND METHODS: We reviewed women who underwent vaginal hysterectomy combined with mesh-based vNOTES lateral suspension for pelvic organ prolapse between March 2022 and March 2026. Patients were grouped according to whether the lateral mesh arms were fixed to the fascia. Preoperative and 12-month postoperative Pelvic Organ Prolapse Quantification (POP-Q) measurements, recurrence, perioperative outcomes, postoperative complications, and mesh erosion were evaluated.
MAIN OUTCOME MEASURES: The primary outcome was recurrence at 12 months, defined as POP-Q point C >-1 cm, reflecting clinically significant apical prolapse. Secondary outcomes included POP-Q values and change scores, operative time, estimated blood loss, length of hospital stay, complications, and mesh erosion.
SAMPLE SIZE: 101 patients; 46 in the non-fixation group and 55 in the fixation group.
RESULTS: Both groups demonstrated significant improvement in all evaluated POP-Q points at 12 months compared with baseline (P<.001). Recurrence occurred in four patients (8.7%) in the non-fixation group and four patients (7.3%) in the fixation group (P=1.0). Operative time, estimated blood loss, and length of hospital stay were comparable between groups (P=.347, P=.187, and P=.274, respectively). Similarly, no significant between-group differences were observed in perioperative complications (P=.59), postoperative complications (P=.426), or mesh erosion (P=1.0).
CONCLUSIONS: Fascial fixation of the lateral mesh arms was not associated with improved short-term anatomical, perioperative, or postoperative outcomes at 12 months following mesh-based vNOTES lateral suspension after vaginal hysterectomy.
LIMITATIONS: Retrospective design, single-center setting, modest sample size, and 12-month follow-up period.