Evidence map›Paper›PMID 39215808›Full record

ArticleInternational urogynecology journal2024

vNOTES versus Laparoscopic Uterosacral Ligament Suspension for Apical Pelvic Organ Prolapse: Perioperative and Short-Term Outcomes.

Taylor Morganstein, Mihnea Gangal, Eric Belzile, Dorsa Sohaei, Jouhayna Bentaleb, Adi Reuveni-Salzman, Lisa Merovitz, Jens-Erik Walter, Maryse Larouche

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

9 authors.

Taylor MorgansteinFaculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Mihnea GangalDepartment of Obstetrics and Gynecology, University of Montreal, Montreal, QC, Canada.
Eric BelzileSt. Mary's Research Centre, Montreal, QC, Canada.
Dorsa SohaeiFaculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Jouhayna BentalebDivision of Urogynecology, Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada.
Adi Reuveni-SalzmanDivision of Urogynecology, Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada.
Lisa MerovitzDivision of Urogynecology, Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada.
Jens-Erik WalterDivision of Urogynecology, Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada.
Maryse LaroucheDivision of Urogynecology, Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada. ml.larouche@mcgill.ca.ORCID 0000-0001-9942-5540

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisVaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) is a novel approach in gynecological surgery. This study was aimed at comparing perioperative and short-term postoperative outcomes of vNOTES versus laparoscopic approaches to uterosacral ligament suspension (USLS) for apical pelvic organ prolapse.

methodsA retrospective cohort study included all women who underwent vNOTES versus laparoscopic USLS at two university-affiliated centers between 2017 and 2023. The relationships between variables were tested using Fisher's exact test or t test, including a sub-analysis comparing hysterectomy and hysteropexy outcomes within the groups. Logistic regression assessed the influence of baseline factors and operative factors on the primary and main secondary outcomes of interest.

resultsThis study comprised 47 vNOTES and 54 laparoscopic USLS cases (including 11 and 15 hysteropexies respectively). Baseline demographics in the two groups were similar. There were no differences in operative outcomes and no instances of ureteral injury. The vNOTES technique allowed for the use of significantly more sutures per side (2.0 [2.0-4.0] vs 1.0 [1.0-1.0], p = 0.001). Postoperative complications within 6 weeks demonstrated no significant differences. Both groups exhibited comparable rates of baseline subjective POP symptoms (100% vs 96.2%, p = 1.00) which improved significantly at 6 weeks (4.3% vs 11.1%, p = 0.282). At 6 weeks, anatomical success was achieved by significantly more patients with vNOTES (93.5% vs 78.6%, p = 0.042). Baseline and 6-week POP symptoms in the hysterectomy and hysteropexy subgroups were similar.

conclusionBoth vNOTES and laparoscopic USLS demonstrated comparable subjective success rates at 6 weeks postoperatively. The vNOTES approach demonstrated improved anatomical success at 6 weeks, but the difference was not significant after adjusting for operative factors.

Indexed as

LaparoscopyLigamentsNatural Orifice Endoscopic SurgeryPelvic Organ ProlapseAgedFemaleGynecologic Surgical ProceduresHumansMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeUterusVaginaHysterectomyLaparoscopyPelvic organ prolapseTransvaginal natural orifice transluminal endoscopic surgeryUterosacral ligament suspensionvNOTES

Identifiers

PMID39215808

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.