Vaginal Vault Prolapse Clinical Trial
Official title:
Laparoscopic Sacropexy: Randomized Clinical Trial to Compare Two Different Attachment Sites of the Dorsal Mesh at the Vaginal Insertion(MeshPlace)
The purpose of this study is to compare postoperative complications and outcome two different attachment sites of the dorsal mesh support in laparoscopic sacropexy.
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.
;
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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