{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:38:55Z","timestamp":1740109135830,"version":"3.37.3"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2022,11,20]],"date-time":"2022-11-20T00:00:00Z","timestamp":1668902400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,20]],"date-time":"2022-11-20T00:00:00Z","timestamp":1668902400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012681","name":"Universit\u00e4tsklinikum K\u00f6ln","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012681","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Treatment of pelvic organ prolapse (POP) often requires the use of synthetic mesh. In case of a novel and standardized bilateral apical fixation, both uterosacral ligaments are replaced by polyvinylidene-fluoride (PVDF) tapes. One of the main problems remains the fixation method, which should be stable, but also simple and quick to use. The current study evaluated biomechanical differences between the cervical tape fixation with sutures (group 1), non-absorbable tacks (group 2) and absorbable tacks (group 3) in an in vitro porcine model.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A total of 28 trials, conducted in three groups, were performed on porcine, fresh cadaver uteri. All trials were performed until mesh, tissue or fixation device failure occurred. Primary endpoints were the biomechanical properties maximum load (N), displacement at failure (mm) and stiffness (N\/mm). The failure mode was a secondary endpoint.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>There was a significant difference between all three groups concerning the maximum load. Group 1 (sutures) supported a maximum load of 64\u2009\u00b1\u200915\u00a0N, group 2 (non-absorbable tacks) yielded 41\u2009\u00b1\u200910\u00a0N and group 3 (absorbable tacks) achieved 15\u2009\u00b1\u20098\u00a0N.<\/jats:p>\n                <jats:p>The most common failure mode was a mesh failure for group 1 and 2 and a fixation device failure for group 3.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The PVDF-tape fixation with sutures supports 1.5 times the load that is supported by non-absorbable tacks and 4.2 times the load that is supported by absorbable tacks. Nevertheless, there was also a stable fixation through tacks. Sutures are the significantly stronger and cheaper fixation device but may prolong the surgical time in contrast to the use of tacks.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00404-022-06827-3","type":"journal-article","created":{"date-parts":[[2022,11,20]],"date-time":"2022-11-20T18:02:25Z","timestamp":1668967345000},"page":"863-871","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["AbsorbaTack\u2122 vs. ProTack\u2122 vs. sutures: a biomechanical analysis of cervical fixation methods for laparoscopic apical fixations in the porcine model"],"prefix":"10.1007","volume":"307","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1627-1871","authenticated-orcid":false,"given":"Ludwig","family":"Sebastian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jansen","family":"Alina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thangarajah","family":"Fabinshy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ratiu","family":"Dominik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sauerwald","family":"Axel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hachenberg","family":"Jens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wegmann","family":"Kilian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudroff","family":"Claudia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karapanos","family":"Leonidas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radosa","family":"Julia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trageser","family":"Nadja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eichler","family":"Christian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,11,20]]},"reference":[{"issue":"11","key":"6827_CR1","doi-asserted-by":"publisher","first-page":"1311","DOI":"10.1001\/jama.300.11.1311","volume":"300","author":"I Nygaard","year":"2008","unstructured":"Nygaard I et al (2008) Prevalence of symptomatic pelvic floor disorders in US women. JAMA 300(11):1311\u20131316","journal-title":"JAMA"},{"issue":"1","key":"6827_CR2","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.ajog.2003.07.017","volume":"190","author":"VL Handa","year":"2004","unstructured":"Handa VL et al (2004) Progression and remission of pelvic organ prolapse: a longitudinal study of menopausal women. Am J Obstet Gynecol 190(1):27\u201332","journal-title":"Am J Obstet Gynecol"},{"issue":"5","key":"6827_CR3","doi-asserted-by":"publisher","first-page":"1096","DOI":"10.1097\/AOG.0b013e3181f73729","volume":"116","author":"FJ Smith","year":"2010","unstructured":"Smith FJ et al (2010) Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol 116(5):1096\u20131100","journal-title":"Obstet Gynecol"},{"issue":"1","key":"6827_CR4","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1590\/s1677-5538.ibju.2018.0581","volume":"46","author":"AY Weintraub","year":"2020","unstructured":"Weintraub AY, Glinter H, Marcus-Braun N (2020) Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse. Int Braz J Urol 46(1):5\u201314","journal-title":"Int Braz J Urol"},{"issue":"3","key":"6827_CR5","first-page":"179","volume":"96","author":"CB Iglesia","year":"2017","unstructured":"Iglesia CB, Smithling KR (2017) Pelvic Organ Prolapse. Am Fam Physician 96(3):179\u2013185","journal-title":"Am Fam Physician"},{"key":"6827_CR6","volume-title":"Cochrane database of systematic reviews","author":"C Maher","year":"2013","unstructured":"Maher C et al (2013) Surgical management of pelvic organ prolapse in women. Cochrane database of systematic reviews. John Wiley & Sons Ltd, Chichester"},{"issue":"5","key":"6827_CR7","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1097\/AOG.0b013e3182a8a5e4","volume":"122","author":"KS Eilber","year":"2013","unstructured":"Eilber KS et al (2013) Outcomes of vaginal prolapse surgery among female Medicare beneficiaries: the role of apical support. Obstet Gynecol 122(5):981\u2013987","journal-title":"Obstet Gynecol"},{"issue":"6","key":"6827_CR8","doi-asserted-by":"publisher","first-page":"1713","DOI":"10.1016\/S0002-9378(94)70346-9","volume":"170","author":"JO DeLancey","year":"1994","unstructured":"DeLancey JO (1994) Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol 170(6):1713\u20131720","journal-title":"Am J Obstet Gynecol"},{"key":"6827_CR9","first-page":"1","volume":"153","author":"PE Petros","year":"1993","unstructured":"Petros PE, Ulmsten UI (1993) An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl 153:1\u201393","journal-title":"Scand J Urol Nephrol Suppl"},{"issue":"2","key":"6827_CR10","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1159\/000339972","volume":"74","author":"W Jager","year":"2012","unstructured":"Jager W, Mirenska O, Brugge S (2012) Surgical treatment of mixed and urge urinary incontinence in women. Gynecol Obstet Invest 74(2):157\u2013164","journal-title":"Gynecol Obstet Invest"},{"issue":"1","key":"6827_CR11","first-page":"17","volume":"35","author":"W Jaeger","year":"2016","unstructured":"Jaeger W et al (2016) Standardized bilateral mesh supported uterosacral ligament replacement\u2013cervico-sacropexy (CESA) and vagino-sacropexy (VASA) operations for female genital prolapse. Pelviperineology 35(1):17\u201321","journal-title":"Pelviperineology"},{"issue":"279","key":"6827_CR12","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1016\/j.ejogrb.2022.10.004","volume":"6","author":"AS Page","year":"2022","unstructured":"Page AS, Page G, Deprest J (2022) Cervicosacropexy or vaginosacropexy for urinary incontinence and apical prolapse: A systematic review. Eur J Obstet Gynecol Reprod Biol. 6(279):60\u201371. https:\/\/doi.org\/10.1016\/j.ejogrb.2022.10.004","journal-title":"Eur J Obstet Gynecol Reprod Biol."},{"issue":"16","key":"6827_CR13","doi-asserted-by":"publisher","first-page":"3487","DOI":"10.1016\/S0142-9612(02)00070-4","volume":"23","author":"U Klinge","year":"2002","unstructured":"Klinge U et al (2002) PVDF as a new polymer for the construction of surgical meshes. Biomaterials 23(16):3487\u20133493","journal-title":"Biomaterials"},{"issue":"6","key":"6827_CR14","doi-asserted-by":"publisher","first-page":"292","DOI":"10.3109\/08941939.2011.589883","volume":"24","author":"CD Klink","year":"2011","unstructured":"Klink CD et al (2011) Comparison of long-term biocompability of PVDF and PP meshes. J Invest Surg 24(6):292\u2013299","journal-title":"J Invest Surg"},{"issue":"11","key":"6827_CR15","doi-asserted-by":"publisher","first-page":"1058","DOI":"10.1089\/end.2018.0474","volume":"32","author":"S Rexhepi","year":"2018","unstructured":"Rexhepi S et al (2018) Laparoscopic bilateral cervicosacropexy and vaginosacropexy: new surgical treatment option in women with pelvic organ prolapse and urinary incontinence. J Endourol 32(11):1058\u20131064","journal-title":"J Endourol"},{"issue":"6","key":"6827_CR16","doi-asserted-by":"publisher","first-page":"1949","DOI":"10.21873\/invivo.11690","volume":"33","author":"S Ludwig","year":"2019","unstructured":"Ludwig S et al (2019) Comparison of solifenacin and bilateral apical fixation in the treatment of mixed and urgency urinary incontinence in women: URGE 1 study a randomized clinical trial. In Vivo 33(6):1949\u20131957","journal-title":"In Vivo"},{"key":"6827_CR17","doi-asserted-by":"publisher","first-page":"860784","DOI":"10.1155\/2015\/860784","volume":"2015","author":"R Joukhadar","year":"2015","unstructured":"Joukhadar R et al (2015) A novel operative procedure for pelvic organ prolapse utilizing a MRI-visible mesh implant: safety and outcome of modified laparoscopic bilateral sacropexy. Biomed Res Int 2015:860784","journal-title":"Biomed Res Int"},{"issue":"2","key":"6827_CR18","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1016\/j.ijgo.2016.05.007","volume":"135","author":"S Rajshekhar","year":"2016","unstructured":"Rajshekhar S, Mukhopadhyay S, Morris E (2016) Early safety and efficacy outcomes of a novel technique of sacrocolpopexy for the treatment of apical prolapse. Int J Gynaecol Obstet 135(2):182\u2013186","journal-title":"Int J Gynaecol Obstet"},{"issue":"1","key":"6827_CR19","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1002\/ijgo.12935","volume":"147","author":"C Cassis","year":"2019","unstructured":"Cassis C, Mukhopadhyay S, Morris E (2019) Standardizing abdominal sacrocolpopexy for the treatment of apical prolapse: 1\u00a0year on. Int J Gynaecol Obstet 147(1):49\u201353","journal-title":"Int J Gynaecol Obstet"},{"issue":"8","key":"6827_CR20","doi-asserted-by":"publisher","first-page":"2208","DOI":"10.1007\/s00464-012-2161-3","volume":"26","author":"HA Formijne Jonkers","year":"2012","unstructured":"Formijne Jonkers HA et al (2012) The optimal strategy for proximal mesh fixation during laparoscopic ventral rectopexy for rectal prolapse: an ex vivo study. Surg Endosc 26(8):2208\u20132212","journal-title":"Surg Endosc"},{"issue":"5","key":"6827_CR21","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1007\/s00192-011-1616-8","volume":"23","author":"JP Shepherd","year":"2012","unstructured":"Shepherd JP et al (2012) Uniaxial biomechanical properties of seven different vaginally implanted meshes for pelvic organ prolapse. Int Urogynecol J 23(5):613\u2013620","journal-title":"Int Urogynecol J"},{"issue":"1","key":"6827_CR22","doi-asserted-by":"publisher","first-page":"e0190137","DOI":"10.1371\/journal.pone.0190137","volume":"13","author":"NL Ramo","year":"2018","unstructured":"Ramo NL, Puttlitz CM, Troyer KL (2018) The development and validation of a numerical integration method for non-linear viscoelastic modeling. PLoS ONE 13(1):e0190137","journal-title":"PLoS ONE"},{"issue":"3","key":"6827_CR23","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1007\/s00404-021-06343-w","volume":"305","author":"AK Jansen","year":"2022","unstructured":"Jansen AK et al (2022) Tacks vs. sutures: a biomechanical analysis of sacral bony fixation methods for laparoscopic apical fixations in the porcine model. Arch Gynecol Obstet 305(3):631\u2013639","journal-title":"Arch Gynecol Obstet"},{"issue":"2","key":"6827_CR24","doi-asserted-by":"publisher","first-page":"e0144143","DOI":"10.1371\/journal.pone.0144143","volume":"11","author":"A Sauerwald","year":"2016","unstructured":"Sauerwald A et al (2016) Laparoscopic pectopexy: a biomechanical analysis. PLoS ONE 11(2):e0144143","journal-title":"PLoS ONE"},{"issue":"6","key":"6827_CR25","doi-asserted-by":"publisher","first-page":"1539","DOI":"10.1007\/s00192-020-04609-6","volume":"32","author":"J Hachenberg","year":"2020","unstructured":"Hachenberg J et al (2020) Suturing methods in prolapse surgery: a biomechanical analysis. Int Urogynecol J 32(6):1539\u20131544","journal-title":"Int Urogynecol J"},{"issue":"7","key":"6827_CR26","doi-asserted-by":"publisher","first-page":"1215","DOI":"10.1007\/s00192-019-03911-2","volume":"30","author":"S Ludwig","year":"2019","unstructured":"Ludwig S et al (2019) Laparoscopic bilateral cervicosacropexy: introduction to a new tunneling technique. Int Urogynecol J 30(7):1215\u20131217","journal-title":"Int Urogynecol J"},{"key":"6827_CR27","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1016\/j.ijsu.2018.03.042","volume":"53","author":"RMA Khan","year":"2018","unstructured":"Khan RMA et al (2018) Absorbable versus non-absorbable tacks for mesh fixation in laparoscopic ventral hernia repair: a systematic review and meta-analysis. Int J Surg 53:184\u2013192","journal-title":"Int J Surg"},{"issue":"5","key":"6827_CR28","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1002\/bjs.9750","volume":"102","author":"MW Christoffersen","year":"2015","unstructured":"Christoffersen MW et al (2015) Recurrence rate after absorbable tack fixation of mesh in laparoscopic incisional hernia repair. Br J Surg 102(5):541\u2013547","journal-title":"Br J Surg"},{"issue":"5","key":"6827_CR29","doi-asserted-by":"publisher","first-page":"283","DOI":"10.3109\/13645706.2013.808228","volume":"22","author":"G Cavallaro","year":"2013","unstructured":"Cavallaro G et al (2013) Lightweight polypropylene mesh fixation in laparoscopic incisional hernia repair. Minim Invasive Ther Allied Technol 22(5):283\u2013287","journal-title":"Minim Invasive Ther Allied Technol"}],"container-title":["Archives of Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00404-022-06827-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00404-022-06827-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00404-022-06827-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T09:11:56Z","timestamp":1677834716000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00404-022-06827-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,20]]},"references-count":29,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["6827"],"URL":"https:\/\/doi.org\/10.1007\/s00404-022-06827-3","relation":{},"ISSN":["1432-0711"],"issn-type":[{"type":"electronic","value":"1432-0711"}],"subject":[],"published":{"date-parts":[[2022,11,20]]},"assertion":[{"value":"13 June 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 October 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 November 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Financial interests: for the implementation of the study 40 PVDF-CESA-replacement structures were sponsored by the FEG Textiltechnik mbH Company. Non-financial interests: the authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was conducted in accordance with institutional review board standard operating procedures. Ethics committee approval was acquired, 20\u20131481 is the tracking number, ethics committee of the University of Cologne.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}