Capio slim suture capturing device for transvaginal apical pelvic organ prolapse

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2025-04-20 DOI:10.1016/j.ejogrb.2025.113993

Paolo Luffarelli , Kiara Sejfullai , Costanza Mazzola , Claudia Tempesta , Michele Carlo Schiavi , Valerio Napolitano , Marzio Angelo Zullo

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引用次数: 0

Abstract

Objective

Pelvic organ prolapse is an extremely common condition, with approximately 12% of women requiring surgical correction over their lifetime. This is the first study comparing standard technique with Capio device with a prolonged follow-up. The aim of this study was to describe a standardization technique and its efficacy to treat vaginal vault prolapse based on Capio device to sacrospinous ligament (SSL) suspension in comparison to the well-known and described “Capio-free” standard technique (ST).

Materials and methods

From January 2016 to January 2022, we retrospectively evaluated 163 women undergoing surgery to treat apical vaginal prolapse with ST and/or Capio technique (CT) at two high-volume centers.

Results

ST mean operative time resulted to be longer in comparison to the CT (98 ± 22.6 m vs 86 ± 17.4 m, p < 0.001). Mean intraoperative bleeding, hospital stay, and indwelling catheter resulted to be comparable between the two groups (all p > 0.05).

Conclusion

The CT used to treat women with vaginal vault prolapse was effective, secure, easy to perform, and associated with low risks of bleeding, perineal pain, vessel injuries and recurrent prolapse. The shorter operative time observed in surgery performed with Capio device, could suggest an implementation of such technique due to the overlapping complications, prolapse recurrence and postoperative quality of life.

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用于经阴道顶端盆腔脏器脱垂的 Capio 超薄缝合捕捉器

目的盆腔器官脱垂是一种非常常见的疾病，大约12%的女性一生中需要手术矫正。这是第一个比较标准技术和卡皮奥装置的长期随访的研究。本研究的目的是描述一种基于Capio装置到骶棘韧带（SSL）悬架的治疗阴道穹窿脱垂的标准化技术及其疗效，并与众所周知的“无Capio”标准技术（ST）进行比较。材料和方法2016年1月至2022年1月，我们回顾性评估了163名在两个大容量中心接受ST和/或Capio技术（CT）治疗阴道根尖脱垂的女性。结果st平均手术时间较CT长（98±22.6 m vs 86±17.4 m）；0.001)。两组平均术中出血量、住院时间和留置导尿管结果具有可比性(均p >；0.05)。结论CT治疗女性阴道拱顶脱垂有效、安全、操作简便，出血、会阴疼痛、血管损伤及复发性脱垂风险低。Capio装置手术时间较短，考虑到并发症重叠、脱垂复发和术后生活质量，建议采用该技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European journal of obstetrics, gynecology, and reproductive biology 医学-妇产科学

CiteScore

4.60

自引率

3.80%

发文量

898

审稿时长

8.3 weeks

期刊介绍： The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.