Polypropylene Suture Versus Absorbable Tack Mesh Fixation in Laparoscopic Pectopexy: A Retrospective Study

• Main Author: Gulfem Basol, Ahmet Kale, Hande G.Aytuluk, Ebru Kale, Halime Pence, Tansel Sapmaz
• Format: Article
• Language: English
• Published: Bulgarian Association of Young Surgeons 2019-08-01
• Series: International Journal of Medical Reviews and Case Reports
• Subjects: laparoscopic prolapse surgery; pectopexy; surgical fixation devices; surgical mesh; vaginal prolapse
• Online Access: http://www.mdpub.net/index.php?fulltxt=22685&fulltxtj=172&fulltxtp=172-1545410472.pdf
• ISSN: 2534-9821; 2534-9821

Backgound: The aim of this study to investigate whether tacker and suture materials used for mesh fixation in the laparoscopic pectopexy would yield significant differences with respect to feasibility, safety, and postoperative outcomes Methods: A total of 26 women who underwent laparoscopic pectopexy between January 2015 and June 2017 at the Kocaeli Derince Education and Research Hospital were retrospectively analyzed. Fourteen patients had the mesh fixation onto the iliopectineal ligaments and vaginal stump with polypropylene suture using intra-corporeal suturing technique and twelve patients had the mesh fixation tacks via the absorbable mesh fixation devices of commercial tack device - Absorbatack™. (Suture group: 14 subjects, tacker group: 12 subjects). Results: Twenty-six patients underwent laparoscopic pectopexy. Tacker group had a significantly shorter duration of operation and time required for placement of mesh than the suture group (P<0.001). The Visual Pain Scale (VAS) score rates at the 6th, 12th, 24th hours did not demonstrate significant differences between the two groups. (P=0.159, P= 0.222, P= 0.215, respectively). The follow- up period in the suture group averaged 16.4±7.3 months and 13.8±4.7 months in the tacker group (P=0.312). Conclusion: Fixation of mesh onto the iliopectineal ligament and vaginal vault via absorbable mesh fixation devices may be a safe, feasible, and time-saving procedure that might be an alternative to polypropylene suture fixation. However, this study displays the initial experiences of "absorbable mesh fixation device" usage in laparoscopic pectopexy. Further prospective comparative studies are necessary to show long term results.