Evidence map›Paper›PMID 29961113›Full record

ArticleInternational urogynecology journal2019

Uterus preservation is superior to hysterectomy when performing laparoscopic lateral suspension with mesh.

Nikolaus Veit-Rubin, Jean Dubuisson, Florin Constantin, Sören Lange, Isabelle Eperon, Victor Gomel, Jean-Bernard Dubuisson

Open access · hybridAbstract read
In one paragraph

Article in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  3. Surgical treatment of apical prolapse Number 9 - 2026.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Long-term Outcomes of Laparoscopic Sacrohysteropexy with SERATEXInternational urogynecology journal · 2025
    Article
  8. Observational
  9. Article
  10. A modified laparoscopic lateral suspension with mesh for apical and anterior pelvic organ prolapse: a retrospective cohort study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  11. Article
  12. Article
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  14. Article
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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

7 authors at 2 institutions in 3 countries.

Nikolaus Veit-RubinDepartment of Obstetrics and Gynecology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. nikolaus.veitrubin@gmail.com.ORCID 0000-0002-2102-9254
Jean DubuissonFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Florin ConstantinFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Sören LangeDepartment of Obstetrics and Gynecology, Cantonal Hospital of Yverdon-les-Bains, Yverdon-les-Bains, Switzerland.
Isabelle EperonFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Victor GomelDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada.
Jean-Bernard DubuissonFaculty of Medicine, University of Geneva, Geneva, Switzerland.
University of Geneva · CHUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisWe aimed to compare differences between laparoscopic lateral suspension with mesh (LLS) performed with supracervical hysterectomy (LLSHE) and without hysterectomy (LLSUP).

methodsWe retrospectively collected data from women operated by a single surgeon between 2003 and 2011. From a total of 339 women with symptomatic anterior and/or apical pelvic organ prolapse (POP) and an intact uterus, 224 had LLSUP (70.4%) and 94 had LLSHE (29.6%). Three hundred and sixteen patients were examined at 1 year. Primary outcomes were objective and subjective success at 1 year during clinical evaluation. Secondary outcomes were complications (Clavien-Dindo scale) and mesh exposure. Patient satisfaction was evaluated by telephone interview using a 10-point scale and the Patient Global Impression of Improvement Scale (PGI-I).

resultsLLSUP and LLSHE did not differ for age (mean 57 and 55 years, respectively), preoperative status, complications, and participation at the interview (52 vs 53%). LLSHE is associated with higher mesh exposure (6.5 vs 1.3%, p = 0.014) and more frequent use of Mersilene. Titanium-coated and noncoated polypropylene was more frequently used in LLSUP. At 1 year, both anatomic success rate for the anterior compartment (98.7 vs 94.6%, p = 0.021) and subjective success rate (83.5 vs 72.8%, p = 0.035) were higher for LLSUP. Without hysterectomy, patients more often improved (90.5 vs 76.5%, p = 0.013) and would more frequently recommend the procedure (94.5 vs 80.4%, p = 0.004).

conclusionsLLS with or without hysterectomy is a safe technique with high patient satisfaction. The uterus-preserving approach appears to result in better anatomic outcome for the anterior compartment, better subjective outcome, and higher patient satisfaction.

Indexed as

HysterectomyOrgan Sparing TreatmentsSurgical MeshAdultAgedFemaleHumansLaparoscopyMiddle AgedOperative TimePatient SatisfactionPelvic Organ ProlapseRetrospective StudiesTreatment OutcomeLaparoscopic lateral suspensionPatient satisfactionPelvic organ prolapseUterine preservation

Identifiers

PMID29961113
PMCPMC6450845
OpenAlexW2810719712

What OpenQuestion holds

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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.