Jansen, Alina Katharina, Ludwig, Sebastian, Malter, Wolfram, Sauerwald, Axel, Hachenberg, Jens, Pahmeyer, Caroline, Wegmann, Kilian, Rudroff, Claudia, Karapanos, Leonidas, Radosa, Julia, Trageser, Nadja and Eichler, Christian . Tacks vs. sutures: a biomechanical analysis of sacral bony fixation methods for laparoscopic apical fixations in the porcine model. Arch. Gynecol. Obstet.. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-0711

Full text not available from this repository.

Abstract

Purpose There is a novel surgical procedure, called cervicosacropexy (CESA) and vaginosacropexy (VASA) to treat pelvic organ prolapse and a concomitant urgency and mixed urinary incontinence. As there is little experience with the tapes so far and literature is scanty, the aim of this study was to investigate biomechanical properties for the fixation of the PVDF-tapes with three different fixation methods in context of apical fixations. Methods Evaluation was performed on porcine, fresh cadaver sacral spines. A total of 40 trials, divided into 4 subgroups, was performed on the anterior longitudinal ligament. Recorded biomechanical properties were displacement at failure, maximum load and stiffness in terms of the primary endpoints. The failure mode was a secondary endpoint. Group 4 was a reference group to compare single sutures on porcine tissue with those on human tissue. Biomechanical parameters for single sutures on the human anterior longitudinal ligament were evaluated in a previous work by Hachenberg et al. Results The maximum load for group 1 (two single sutures) was 65 +/- 12 N, for group 2 (three titanium tacks arranged in a row) it was 25 +/- 10 N and for group 3 (three titanium tacks arranged in a triangle) it was 38 +/- 12 N. There was a significant difference between all three groups. The most common failure mode was a mesh failure in 9/10 trials for groups 1-3. Conclusion The PVDF-tape fixation with two single sutures endures 2.6 times more load than titanium tacks arranged in a row and 1.7 times more load than titanium tacks arranged in a triangle. The presacral fixation with titanium tacks reduced surgical time compared to the fixation with sutures, nevertheless sutures represent the significantly stronger and cheaper fixation method.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Jansen, Alina KatharinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ludwig, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Malter, WolframUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sauerwald, AxelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hachenberg, JensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pahmeyer, CarolineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wegmann, KilianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rudroff, ClaudiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karapanos, LeonidasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Radosa, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Trageser, NadjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eichler, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-592745
DOI: 10.1007/s00404-021-06343-w
Journal or Publication Title: Arch. Gynecol. Obstet.
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 1432-0711
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
URINARY-INCONTINENCE; PROLAPSE; POLYMER; PVDFMultiple languages
Obstetrics & GynecologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/59274

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item