Evidence map›Paper›PMID 28101639›Full record

ArticleInternational urogynecology journal2017

Laparoscopic hysteropexy: 10 years' experience.

Helen Jefferis, Natalia Price, Simon Jackson

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 39 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Surgical Decision-Making: Who Should Be Offered Sacrocolpopexy?International urogynecology journal · 2024
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Recurrent surgery in uterine prolapse: A nationwide register study.Acta obstetricia et gynecologica Scandinavica · 2022
    Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Mesh-related complications of laparoscopic sacrocolpopexy.International urogynecology journal · 2019
    Article
  20. Article
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

3 authors at 1 institution in 1 country.

Helen JefferisDepartment of Urogynaecology, John Radcliffe Hospital, Oxford, OX3 9DU, UK. helenjefferis@doctors.org.uk.ORCID http://orcid.org/0000-0002-8927-0474
Natalia PriceDepartment of Urogynaecology, John Radcliffe Hospital, Oxford, OX3 9DU, UK.
Simon JacksonDepartment of Urogynaecology, John Radcliffe Hospital, Oxford, OX3 9DU, UK.
John Radcliffe Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisUterine prolapse is common and has traditionally been treated by vaginal hysterectomy. Increasingly, women are seeking uterine-preserving alternatives. Laparoscopic hysteropexy offers resuspension of the uterus using polypropylene mesh. We report on 10 years' experience with this technique.

methodsAll hysteropexy procedures in our unit since 2006 were reviewed. Primary outcome was safety of hysteropexy, as assessed by intraoperative and major postoperative complications. Secondary outcomes were measures of feasibility, including operating time, length of stay, conversion to alternative procedures, change in point C, patient satisfaction, and repeat apical prolapse surgery.

resultsData were available for 507 women. Complications were rare (1.8%) with no evidence of any mesh exposure. Mean operating time was 62.5 min and median length of stay 2 nights. In 17 patients (3.4%), hysteropexy was abandoned. There was a mean change in point C of 7.9 cm and 93.8% of patients felt that their prolapse was "very much" or "much" better. Of these women, 2.8% have had repeat apical surgery.

conclusionsTo our knowledge, this is the largest series to date, describing 10 years' experience with laparoscopic hysteropexy. The surgical technique appears to be safe, with low complication rates, which supports the choice of appropriately selected women to opt for uterine preservation surgery as an alternative to hysterectomy for the management of uterine prolapse.

Indexed as

Surgical MeshAdultAgedAged, 80 and overFemaleHumansHysteroscopyLaparoscopyLength of StayMiddle AgedOperative TimePolypropylenesPostoperative ComplicationsRetrospective StudiesTreatment OutcomeUterine ProlapsePolypropylenesLaparoscopic hysteropexyPelvic organ prolapseUterine preservation

Identifiers

PMID28101639
OpenAlexW2578620287

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.