A descriptive study on the efficacy and complications of the Capio (Boston Scientific) suturing device for sacrospinous ligament fixation

Abstract

BackgroundSacrospinous colpopexy is an effective vaginal apical support operation. Due to morbidity associated with traditional approaches which require wide dissection, slim-line suture delivery devices have been introduced in the hope of reducing morbidity without compromise to outcomes. AimThe aim of our series was to report outcomes and complications (particularly buttock pain and blood loss) of the sacrospinous colpopexy using the Capio suturing device and evaluate it against published results using the Miya hook. MethodsThis is a prospective, multi-centre descriptive study. The primary outcome is objective success at 12months. Secondary outcomes include subjective success at 12months, patient-reported outcomes at 12months, operating time, estimated blood loss and post-operative buttock pain. ResultsFifty-one consenting patients undergoing sacrospinous colpopexy were recruited at four Queensland hospitals. Objective success at 12months was 95% (41/43) and subjective success at 12months was 92% (44/48). Eighty-four percent of patients reported buttock pain at oneweek, reducing to 16% by sixweeks, of which 7% required analgesia. ConclusionsAt a mean of 17months follow up, we found that the sacrospinous colpopexy using the Capio suturing device provided excellent apical support with a low requirement for blood transfusion and an average operating time of sevenminutes. We found a high rate of buttock pain immediately post-operatively, but our rates became consistent with previous reports by sixweeks post-operation.Mowat, Alex Wong, Vivien Goh, Judith Krause, Hannah Pelecanos, Anita Higgs, Peta1479-828x <br />