Evidence map›Paper›PMID 28417156›Full record

Observational studyInternational urogynecology journal2017

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients.

Nikolaus Veit-Rubin, Jean-Bernard Dubuisson, Angèle Gayet-Ageron, Sören Lange, Isabelle Eperon, Jean Dubuisson

3 registry-linked trialsAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% 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.

NCT03421457 nacompletednot on this mapstarted 2018, after this paper: background citation

A Multicenter, Randomized, Prospective, Controlled Study Comparing Uterine Preserving Laparoscopic Lateral Suspension With Mesh Versus Laparoscopic Sacrocervicopexy in the Treatment of Uterine Prolapse: A Randomized Controlled Trial

TypeinterventionalSponsorFatih Sultan Mehmet Training and Research HospitalRan2018 to 2019Enrolled44ConditionsPelvic Organ Prolapse, Pelvic Floor ProlapseArmsUterus-preserving laparoscopic lateral suspension with mesh, Uterus-preserving laparoscopic sacrocervicopexy with mesh
NCT03644628 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Laparoscopic Lateral Suspension Versus Laparoscopic Sacral Colpopexy for Anterior and Apical Prolapse: an International Multicentric Randomized Trial

TypeinterventionalSponsorMedical University of ViennaRan2019 to 2024Enrolled200ConditionsPelvic Organ ProlapseArmsLaparoscopic repair of anterior and apical pelvic organ prolapse
NCT04178083 completednot on this mapstarted 2020, after this paper: background citation

Comparison of Postoperative Results of Laparoscopic Sacrohysteropexy, Modified Laparoscopic Lateral Suspension and Laparoscopic Pectopexy in Patients With Uterine Prolapse.

TypeobservationalSponsorDiyarbakir Women's and Children's Diseases HospitalRan2020 to 2020Enrolled120ConditionsPelvic Organ Prolapse, LaparoscopyArmsmedical examination
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
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  9. Observational
  10. Article
  11. Is occult stress urinary incontinence truly "occult"?Gynecology and pelvic medicine · 2026
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Safety and Effectiveness of G-MeshJournal of clinical medicine · 2024
    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

6 authors at 2 institutions in 1 country.

Nikolaus Veit-RubinFaculty of Medicine, University of Geneva, Geneva, Switzerland. nikolaus.veitrubin@gmail.com.
Jean-Bernard DubuissonFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Angèle Gayet-AgeronFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Sören LangeFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Isabelle EperonFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Jean DubuissonFaculty of Medicine, University of Geneva, Geneva, Switzerland.
University of Geneva · CHUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisSacropexy is considered the gold standard for the treatment of pelvic organ prolapse (POP) although dissection of the promontory may be challenging, particularly in obese women. Laparoscopic lateral suspension with mesh (LLS) could be an alternative.

methodsLLS provides lateral attachment by fibrosis of a vesicovaginal mesh. Clinical evaluation was performed at 1 year using the simplified POP quantification system (POP-Q). Primary outcomes were objective and subjective cure at 1 year. After a mean of 7.2 years the rates of reoperation and complications were assessed as secondary outcomes. Patient satisfaction was evaluated by telephone interview using a ten-point-scale and the PGI-I scale. Factors predicting satisfaction were determined by logistic regression analysis.

resultsA total of 417 patients were treated between 2003 and 2011. At 1 year 78.4% of patients were asymptomatic and anatomic success rates were 91.6% for the anterior compartment, 93.6% for the apical compartment and 85.3% for the posterior compartment. The complication rate of Clavien-Dindo grade III or higher was 2.2%. The mesh exposure rate was 4.3% and the reoperation rate was 7.3%. Of the 417 patients, 214 participated in the telephone interview. Over 85% rated their situation as improved and satisfaction was associated with the absence of concomitant hysterectomy.

conclusionsLLS is a safe technique with promising results in terms of a composite outcome, low complication rates and high long-term patient satisfaction. However, a randomized controlled trial is needed to establish the technique as an alternative to sacropexy in the treatment of POP in obese and high morbidity patients.

Indexed as

AgedCohort StudiesFemaleGynecologic Surgical ProceduresHumansLaparoscopyMiddle AgedPatient SatisfactionPelvic Organ ProlapsePostoperative ComplicationsPostoperative PeriodPreoperative PeriodSwitzerlandLaparoscopic lateral suspensionMesh surgeryPatient satisfactionPelvic organ prolapse

Identifiers

PMID28417156
OpenAlexW2607124563

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.