AI Article Synopsis
- Sacral colpopexy, using autologous tissue, is being examined as a safe and effective alternative to standard procedures involving synthetic mesh for treating advanced apical prolapse.
- A systematic review was conducted, finding that 7 eligible studies reported cure rates between 94.7% and 100% with medium-term follow-up, and high satisfaction levels among patients.
- Complication rates varied from 0% to 36.8%, with most being minor, suggesting that sacral colpopexy with autologous fascia can be considered in specific clinical cases.
Article Abstract
Objectives: Although sacral colpopexy is considered the gold standard for the treatment of advanced apical prolapse, several warnings and restrictions has been delivered to urogynecological surgeons in order to avoid the implants of prosthetics meshes. The purpose of this systematic review is to investigate the role of sacral colpopexy performed with autologous tissue in literature.
Methods: a systematic review according to PRISMA guidelines was performed in June 2022 through the Medline, Web of Science and Scopus databases. Quality assessment of each article was performed according to Critical Appraisal tool of Oxford center for EBM, LoE according to SORT standards, ROBINS-I tool for methodological assessment in non-randomized trials. From 236 screened records, 7 articles were considered eligible for this systematic review.
Results: Collected data showed objective cure rate ranging from 94.7% to 100% in medium term follow up. Subjective cure rate was specifically investigated in 2 studies with high satisfaction rates. Complication rate ranged from 0 to 36.8%, with 90.1% graded ≤2 according to Clavien-Dindo classification.
Conclusions: sacral colpopexy with autologous fascia shows satisfying outcomes in terms of safety and efficacy and may be taken in account in particular clinical situations.
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| http://dx.doi.org/10.1016/j.jogoh.2023.102635 | DOI Listing |
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