Archives of Gynecology and Obstetrics

, Volume 287, Issue 2, pp 267–274

Vaginal sacrospinous colpopexy using the Capio suture-capturing device versus traditional technique: feasibility and outcome

Authors

    • Department of Obstetrics and GynecologySan Martino Hospital and National Institute for Cancer Research, University of Genoa
  • Franco Alessandri
    • Department of Obstetrics and GynecologySan Martino Hospital and National Institute for Cancer Research, University of Genoa
  • Valentino Remorgida
    • Department of Obstetrics and GynecologySan Martino Hospital and National Institute for Cancer Research, University of Genoa
  • Pier Luigi Venturini
    • Department of Obstetrics and GynecologySan Martino Hospital and National Institute for Cancer Research, University of Genoa
  • Simone Ferrero
    • Department of Obstetrics and GynecologySan Martino Hospital and National Institute for Cancer Research, University of Genoa
General Gynecology

DOI: 10.1007/s00404-012-2540-y

Cite this article as:
Leone Roberti Maggiore, U., Alessandri, F., Remorgida, V. et al. Arch Gynecol Obstet (2013) 287: 267. doi:10.1007/s00404-012-2540-y

Abstract

Purpose

This study compares the feasibility and outcome of sacrospinous colpopexy for treating vaginal vault prolapse (VVP) performed by either the traditional technique or a simplified procedure using the Capio™ suture-capturing device.

Materials and methods

Eighty-six patients with VVP were included in the study. Forty-two patients were treated by traditional sacrospinous colpopexy (TSC group) and 44 patients were treated by the modified technique using the Capio device (CSC group). Additional procedures were performed to restore concomitant pelvic floor defects.

Results

The mean (±SD) total operative time was significantly lower in the CSC group (71.7 ± 24.5 min) than in the TSC group (105.5 ± 31.5 min; p < 0.001); the intraoperative blood loss was higher in the TSC group than in the CSC group. In the CSC group, the mean operative time required to perform sacrospinous colpopexy was 21.4 ± 3.2 min. In patients who underwent only sacrospinous colpopexy, the time required to perform surgery was significantly lower in the CSC group (20.9 ± 3.3 min) than in the TSC group (39.1 ± 5.2 min; p < 0.001). There was no significant difference in the incidence of surgical complications between the two study groups. The objective and subjective success rates at 3-year follow-up were 88.1 and 92.9 % in the TSC group while in the CSC group they were 86.4 and 92.9 %.

Conclusion

The modified technique of sacrospinous ligament fixation using the Capio device reduces the operative time and blood loss when compared to the traditional technique.

Keywords

Capio deviceOperative timeSacrospinous ligament colpopexySacrospinous ligament fixationVaginal vault prolapse

Copyright information

© Springer-Verlag 2012