Trial reportInternational urogynecology journal2015
A randomized trial of vaginal mesh attachment techniques for minimally invasive sacrocolpopexy.
Trial report in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05760794 (BEST), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
BEST: Barbed-suture Efficiency Study for Sacrocolpopexy
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- The Safety of Robot-Assisted Sacrocolpopexy in Pelvic Organ Prolapse Treatment: Systematic Review and Meta-Analysis.International urogynecology journal · 2025Pooled it
- Surgery for women with apical vaginal prolapse.The Cochrane database of systematic reviews · 2023Pooled it
- The Efficacy and Safety of Knotless Barbed Sutures in the Surgical Field: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Scientific reports · 2016Pooled it
- Ten-Year Outcomes After Nerve-Preserving Sacrocolpopexy for Vaginal Vault Suspension Using Resorbable Versus Nonresorbable Sutures.International urogynecology journal · 2026Article
- A clinically and technologically practicable navigation system for robotic sacrocolpopexy.International journal of computer assisted radiology and surgery · 2026Article
- Comparison of Perioperative and Postoperative Outcomes between Single-Port Robotic Sacrocolpopexy and Multi-Port Approaches.International urogynecology journal · 2025Article
- Outcomes of robotic sacrocolpopexy.Obstetrics & gynecology science · 2023Article
- Mesh exposure following minimally invasive sacrocolpopexy: a narrative review.International urogynecology journal · 2022Review
- Comparison between bidirectional StratafixBMC women's health · 2020Article
- Long-term mesh erosion rate following abdominal robotic reconstructive pelvic floor surgery: a prospective study and overview of the literature.International urogynecology journal · 2020Review
- Robotic Sacrocolpopexy for Treatment of Apical Compartment Prolapse.International neurourology journal · 2020Article
- One-year outcomes of a suture-less laparoscopic sacral hysteropexy using polypropylene Y-mesh grafts and fibrin sealant spray: A prospective comparative study.Journal of the Chinese Medical Association : JCMA · 2020Article
- Robotic-assisted repair of pelvic organ prolapse: a scoping review of the literature.Translational andrology and urology · 2020Article
- Current surgical management of pelvic organ prolapse: Strategies for the improvement of surgical outcomes.Investigative and clinical urology · 2019Review
- Long-term outcomes of robotic mesh sacrocolpopexy.Journal of robotic surgery · 2018Article
- Comparison of strength of sacrocolpopexy mesh attachment using barbed and nonbarbed sutures.International urogynecology journal · 2018Article
- Minimally Invasive Sacrocolpopexy: How to Avoid Short- and Long-Term Complications.Current urology reports · 2016Review
- Improvement in Quality of Life after Laparoscopic or Robotic-assisted Sacrocolpopexy with a Single Anterior Mesh in Patients with Pelvic Organ Prolapse: A Retrospective Analysis from a Single Institution.Gynecology and minimally invasive therapyArticle
- Robotic Single-Site Sacrocolpopexy with Retroperitoneal Tunneling.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisWe investigated the efficiency and efficacy of vaginal mesh attachment using interrupted, non-barbed, delayed absorbable sutures in comparison with a running, barbed, delayed absorbable suture during laparoscopic sacrocolpopexy (LSC) and robotic sacrocolpopexy (RSC).
methodsWomen undergoing LSC or RSC were recruited. Participants were randomized to at least six 0 PDS non-barbed interrupted sutures or at least six passes of a 1 PDS barbed suture (Quill™) on each anterior and posterior polypropylene mesh leaflet. The primary outcome was the time to attach the mesh to the vagina. The LSC and RSC groups were block randomized by suture type. Secondary outcomes included: (1) intraoperative surgeon assessment of satisfaction as measured using a 10-cm visual analog scale (VAS), (2) postoperative POP-Q evaluation for anatomic failure, and (3) overall appearance of vaginal walls measured using a VAS.
resultsOf the 64 included subjects who were randomized, 32 had mesh attachment with the barbed suture (16 LSC, 16 RSC) and 32 had attachment with non-barbed sutures (16 LSC, 16 RSC). Among all the subjects (LSC and RSC), the non-barbed suture group had significantly longer mesh attachment times than the barbed suture group (42 vs. 29 min, p < 0.001). The non-barbed suture group had significantly better scores for intraoperative ease of suture placement, surgeon satisfaction with mesh appearance, and global satisfaction. At 12 months, there were no significant differences in anatomic failure between the suture groups or overall appearance of the vaginal walls (p > 0.05).
conclusionsThe barbed suture technique was 11 - 16 min faster for attaching mesh to the vagina than the non-barbed suture technique. Anatomic outcomes at 12 months were comparable between the suture groups. It is reasonable to use a running, barbed suture in minimally invasive sacrocolpopexy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.