Evidence map›Paper›PMID 35666287›Full record

ArticleInternational urogynecology journal2022

Mesh complications after total vs supracervical laparoscopic hysterectomy at time of minimally invasive sacrocolpopexy.

Deepanjana Das, Allison Carroll, Margaret Mueller, Kimberly Kenton, Christina Lewicky-Gaupp, Sarah Collins, Julia Geynisman-Tan, C Emi Bretschneider

Abstract read
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. 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

8 authors at 1 institution in 1 country.

Deepanjana DasDivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University, 250 E Superior St, 5th Floor, Suite 05-2113, Chicago, IL, 60611, USA. deepanjana.das@nm.org.ORCID 0000-0002-7509-0421
Allison CarrollDivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University, 250 E Superior St, 5th Floor, Suite 05-2113, Chicago, IL, 60611, USA.
Margaret MuellerDivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University, 250 E Superior St, 5th Floor, Suite 05-2113, Chicago, IL, 60611, USA.
Kimberly KentonDivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University, 250 E Superior St, 5th Floor, Suite 05-2113, Chicago, IL, 60611, USA.
Christina Lewicky-GauppDivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University, 250 E Superior St, 5th Floor, Suite 05-2113, Chicago, IL, 60611, USA.
Sarah CollinsDivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University, 250 E Superior St, 5th Floor, Suite 05-2113, Chicago, IL, 60611, USA.
Julia Geynisman-TanDivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University, 250 E Superior St, 5th Floor, Suite 05-2113, Chicago, IL, 60611, USA.
C Emi BretschneiderDivision of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University, 250 E Superior St, 5th Floor, Suite 05-2113, Chicago, IL, 60611, USA.
Northwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisOur objective was to compare mesh exposure rates (4 months and 1 year) after total (TLH) vs supracervical (SLH) laparoscopic hysterectomy at time of minimally invasive sacrocolpopexy (SCP). Secondary outcomes included 30-day complications and midurethral mesh exposure rates.

methodsThis a retrospective cohort study at a tertiary care referral center from 2011 to 2018. Subjects were identified using Current Procedural Terminology codes. Demographics, operative characteristics, and perioperative complications were abstracted from medical records.

resultsFour hundred three women met the inclusion criteria: 91 SLH+SCP and 312 TLH+SCP. Median follow-up was 52 weeks with an overall mesh exposure rate of 1.5%. Follow-up was available for 90% of patients at 4 months and 51% at 1 year. Half of patients had lightweight mesh (n = 203), and half had ultralightweight mesh (n = 200). Vaginal mesh fixation was performed with permanent suture in 86% (n = 344) and delayed absorbable suture in 14% (n = 56) of patients. At 4 months, vaginal mesh exposure rates did not differ between groups (0% SLH vs 1% TLH, p = 1.00). All mesh exposures in the study period occurred with lightweight mesh in the TLH arm. No differences were noted in 1-year mesh exposure rates, 30-day perioperative complications (p = 0.57), or midurethral mesh exposure rates at 4 months (p = 0.35) and 1 year (p = 1.00) between groups.

conclusionsShort-term mesh exposure following SCP with ultralightweight and lightweight polypropylene mesh is rare regardless of type of hysterectomy and much lower than reported in earlier studies with heavier weight mesh. These data suggest TLH at the time of SCP is a safe option in appropriately counseled patients.

Indexed as

LaparoscopyPelvic Organ ProlapseSurgical MeshFemaleHumansHysterectomyPostoperative ComplicationsRetrospective StudiesTreatment OutcomeHysterectomyMeshSacrocolpopexySurgical complications

Identifiers

PMID35666287
OpenAlexW4281648000

What OpenQuestion holds

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Read underepoch 390

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.