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- W4293231313 abstract "Introduction and aim of the Study: To evaluate the performance and safety of hysteropexy with a mesh in a sling-like configuration attached to the cervix and suspended to the sacrospinous ligaments bilaterally [Splentis (Promedon, Argentina)] via the vaginal route in women undergoing surgery for primary uterine prolapse. Methods: This was a single-centre, retrospective cohort study including non-fertile women who underwent transvaginal repair of primary uterine descent using Splentis with a minimum follow-up of time of 12 months. The primary endpoint was defined by apical and anterior compartment POP-Q≤1. Medical records were studied to collect data regarding the perioperative course and follow-up, including the results of validated quality of life (QoL) questionnaires. Descriptive analysis was applied. The significance level was set at 5%. Results: A total of 103 women with a median age of 68.0 [IQR:11.5] years and a median apical POP-Q stage of 3 were included. The median operative duration was 22 [IQR:12] minutes. There were no intraoperative complications. Anatomical success was met by 98.6% of patients. After a median follow-up time of 17 months, 97.1% of patients reported improvement with respect to prolapse symptoms and QoL improved significantly (p<0.001). Mesh exposure occurred in 3 (2.9%) patients. Of these, two patients required surgical revision, and one patient was treated conservatively. One patient required partial mesh removal due to dyspareunia. No patients required repeat surgery due to prolapse recurrence. Conclusions: Bilateral anterior sacrospinous hysteropexy with Splentis offers an efficacious and safe alternative for apical compartment prolapse, incorporating the advantages of pelvic floor reconstruction via the vaginal route." @default.
- W4293231313 created "2022-08-27" @default.
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- W4293231313 date "2022-03-01" @default.
- W4293231313 modified "2023-09-26" @default.
- W4293231313 title "173 Introduction of a novel hysteropexy technique for apical pelvic organ prolapse repair via the vaginal route" @default.
- W4293231313 doi "https://doi.org/10.1016/j.ejogrb.2021.11.234" @default.
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