Evidence map›Paper›PMID 37222736›Full record

ArticleInternational urogynecology journal2023

Midterm comparison of laparoscopic high uterosacral ligament suspension and sacrocolpopexy in the treatment of moderate to severe apical prolapse.

Yiqi Guan, Kun Zhang, Jinsong Han, Ying Yao, Yiting Wang, Junfang Yang

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  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

6 authors.

Yiqi GuanDepartment of Obstetrics and Gynecology, Peking University Third Hospital, No.49 North Garden Street, 100191, Beijing, China.
Kun ZhangDepartment of Obstetrics and Gynecology, Peking University Third Hospital, No.49 North Garden Street, 100191, Beijing, China.
Jinsong HanDepartment of Obstetrics and Gynecology, Peking University Third Hospital, No.49 North Garden Street, 100191, Beijing, China. 13810210017@139.com.ORCID 0000-0001-9803-2999
Ying YaoDepartment of Obstetrics and Gynecology, Peking University Third Hospital, No.49 North Garden Street, 100191, Beijing, China.
Yiting WangDepartment of Obstetrics and Gynecology, Peking University Third Hospital, No.49 North Garden Street, 100191, Beijing, China.
Junfang YangDepartment of Obstetrics and Gynecology, Peking University Third Hospital, No.49 North Garden Street, 100191, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe objective was to retrospectively analyze the midterm efficacy of laparoscopic high uterosacral ligament suspension (HUS) and sacrocolpopexy (SC) in the treatment of moderate to severe apical prolapse.

methodsPatients who underwent laparoscopic HUS and SC in our center from 2013 to 2019 with follow-ups were included, consisting of laparoscopic HUS (group A, n=72) or SC (mesh added, group B, n=54). The general data of patients, pelvic organ prolapse quantitative examination (POP-Q) score, Pelvic Floor Distress Inventory short form 20 score (PFDI-20) before and after operation, perioperative conditions, Patient Global Impression of Improvement (PGI-I), and postoperative complications were collected for statistical analysis and comparison between groups.

resultsThere was no statistical difference in preoperative data between groups. The median follow-up time was 48 months. The objective recurrence rate of group A was higher than that of group B, without statistical significance. One patient in group B had a second operation owing to recurrence. The exposure rate of mesh in group B was 3.70%. There was no significant difference in deviation of POP-Q and PFDI-20 pre- and post-operation. The proportion of new defecation abnormalities in group A was lower. The total hospitalization expenses and surgical consumables in group B were significantly higher than those in group A.

conclusionsThe midterm curative effect of laparoscopic HUS is similar to that of SC in the treatment of moderate to severe apical prolapse. The former has the advantages of less intraoperative blood loss, shorter postoperative hospital stay, lower cost, fewer new defecation abnormalities, and there were no complications related to mesh.

Indexed as

Gynecologic Surgical ProceduresLaparoscopyLigamentsPelvic Organ ProlapseAgedFemaleHumansMiddle AgedPostoperative ComplicationsRecurrenceRetrospective StudiesSacrumSeverity of Illness IndexSurgical MeshTreatment OutcomeLaparoscopic high uterosacral ligament suspensionMidterm effectPelvic organ prolapseSacrocolpopexy

Identifiers

What Socratic 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 Socratic graph.