Laparoscopic Sacropexy: Comparison of Mesh Attachment
- Conditions
- Vaginal Vault Prolapse
- Registration Number
- NCT00928239
- Lead Sponsor
- Kantonsspital Aarau
- Brief Summary
The purpose of this study is to compare postoperative complications and outcome two different attachment sites of the dorsal mesh support in laparoscopic sacropexy.
- Detailed Description
Laparoscopic sacropexy has become a well established treatment option for vaginal vault prolapse with excellent outcome and low rates of recurrence. Compared to the similar vaginal sacropexy procedure a significant rate of postoperative constipation is reported. As the surgical technique is very similar for both procedures it could be possible that the exposure of the lower vaginal wall and placement and of the dorsal mesh and closer proximity to the colon in laparoscopic sacropexy might cause this. In this randomized controlled clinical trial we compare two different attachment sites for the dorsal mesh during laparoscopic sacropexy. One group is randomized for attachment in the middle of the dorsal wall of the vaginal stump and for the other group preparation and attachment for the dorsal mesh is performed deeper in the lower pelvis for an attachment at the distal part of the dorsal vaginal wall.
Peri-operative data, intra- and postoperative complications and results of short-term (constipation) and long-term( recurrences rate) outcome are recorded.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 88
- vaginal vault prolapse
- recurrence of vaginal vault prolapse
- signed consent
- rectocele
- BMI>40
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Rate of Postoperative Constipation 6 to 8 weeks postoperatively
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Kantonsspital Aarau
🇨🇭Aarau, Aargau, Switzerland
Kantonsspital Aarau🇨🇭Aarau, Aargau, Switzerland