Evidence map›Paper›PMID 27549223›Full record

ArticleInternational urogynecology journal2017

Complications and reoperations after laparoscopic sacrocolpopexy with a mean follow-up of 4 years.

David Vandendriessche, Julie Sussfeld, Géraldine Giraudet, Jean-Philippe Lucot, Hélène Behal, Michel Cosson

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Article in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 65 citations in OpenAlex.

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  7. Sacrocolpopexy: The Way I Do It.International urogynecology journal · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

David VandendriesscheGynecological Surgery Unit, Jeanne de Flandre Hospital, University Hospital of Lille, Lille, France. vdddv@live.fr.
Julie SussfeldGynecological Surgery Unit, Jeanne de Flandre Hospital, University Hospital of Lille, Lille, France.
Géraldine GiraudetGynecological Surgery Unit, Jeanne de Flandre Hospital, University Hospital of Lille, Lille, France.
Jean-Philippe LucotGynecological Surgery Unit, Jeanne de Flandre Hospital, University Hospital of Lille, Lille, France.
Hélène BehalMethodology and Biostatistics Unit, EA2694, UDSL2, University Lille Nord de France, University Hospital of Lille, Lille, France.
Michel CossonGynecological Surgery Unit, Jeanne de Flandre Hospital, University Hospital of Lille, Lille, France.
Hôpital Jeanne de Flandre · FRUniversité Lille Nord de France · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThere is a lack of knowledge concerning long-term reoperation and complications after laparoscopic sacrocolpopexy (LSCP). We analyzed the rates and indications and potential risk factors for reoperation after LSCP in a large series of consecutive patients.

methodsThis was a single-center, retrospective study including all patients who underwent LSCP between 2003 and 2013. Data regarding pelvic organ prolapse (POP), surgical modalities and perioperative complications were collected. Patients were then contacted by telephone or postal letter in 2014. The main outcome criteria were grade III Dindo classification complications: reoperation for POP recurrence, mesh complications, and urinary incontinence (UI).

resultsBetween January 2003 and December 2013, a total of 464 consecutive patients (mean age, 59 years) underwent LSCP. Almost all (99.1 %) patients presented with POP ≥ grade 3 (POP-Q classification). Long-term evaluations were completed for 391 (84.1 %) patients. The median follow-up was 53.5 ± 28.2 months. The global reoperation rate was 12.5 %. The main reoperation indications were UI-related surgery in 21 patients (5.5 %), POP recurrence surgery in 20 patients (5.1 %), and mesh-related surgery in 11 patients (2.8 %). Multivariate analysis showed that older age at the time of initial surgery and concomitant subtotal hysterectomy were significant protective factors against global reoperation (HR = 0.606, CI 95 % [0.451-0.815] and 0.367, CI 95 % [0.193-0.698] respectively) and reduced the risk of POP recurrence surgery.

conclusionProlapse recurrence and mesh-related surgery occurred in 5.1 and 2.8 % of patients respectively, 4 years after laparoscopic sacrocolpopexy. Age and concomitant subtotal hysterectomy could play a role in the incidence of long-term reoperation.

Indexed as

AdultFemaleFollow-Up StudiesHumansIncidenceLaparoscopyMiddle AgedPelvic Organ ProlapsePostoperative ComplicationsProportional Hazards ModelsQuality of LifeRecurrenceReoperationRetrospective StudiesRisk FactorsSurgical MeshComplicationLaparoscopic sacrocolpopexyLong termProlapseReoperation

Identifiers

PMID27549223
OpenAlexW2511908482

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Registered trials

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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.