{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T11:53:13Z","timestamp":1713181993852},"reference-count":22,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2017,8,30]],"date-time":"2017-08-30T00:00:00Z","timestamp":1504051200000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the safety and effectiveness of two different materials (mesh and suture line) used in laparoscopic extraperitoneal uterine suspension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A retrospective observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Gynaecology departments in two hospitals in China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women with symptomatic pelvic organ prolapse (<jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>) of stage <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> or higher.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The women were divided into two groups according to the two different materials for laparoscopic extraperitoneal uterine suspension: mesh or suture line. The baseline characteristics, perioperative details, complications, objective and subjective indexes of the two groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The primary outcome was subjective satisfaction rate based upon validated questionnaires. The secondary outcome was objective anatomic assessment with the <jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>\u2010Q system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No difference was found in baseline characteristics and perioperative details except that there were more cases of cardiovascular\u00a0disease (<jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>) and associated other surgeries in the Line than the Mesh group (36 versus 19, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05; 12 versus 2, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). Statistically significant improvements were found in anatomical measures of points Aa, Ba, Ap, Bp, C and <jats:styled-content style=\"fixed-case\">TVL<\/jats:styled-content> (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.01), as well as functional and quality\u2010of\u2010life measures (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01 for <jats:styled-content style=\"fixed-case\">PFDI<\/jats:styled-content>\u201020 and <jats:styled-content style=\"fixed-case\">PFIQ<\/jats:styled-content>\u20107) between both groups. The postoperative <jats:styled-content style=\"fixed-case\">PFDI<\/jats:styled-content>\u201020, <jats:styled-content style=\"fixed-case\">PFIQ<\/jats:styled-content>\u20107 and <jats:styled-content style=\"fixed-case\">PGI<\/jats:styled-content>\u2010I scores were not different between two groups (<jats:italic>P<\/jats:italic>\u00a0&gt;\u00a00.05). Two cases of deep wound infection were observed in Mesh group at 3\u2010month follow up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Laparoscopic extraperitoneal linear uterine suspension is easy to perform and is associated with fewer mesh\u2010related complications. It is more secure, especially in elderly women and in those with physical complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Laparoscopic extraperitoneal linear uterine suspension is safe, with fewer mesh\u2010related complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.14735","type":"journal-article","created":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T22:33:52Z","timestamp":1504305232000},"page":"64-70","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Laparoscopic extraperitoneal uterine suspension with suture line instead of mesh"],"prefix":"10.1111","volume":"124","author":[{"given":"J","family":"Liang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology China\u2010Japan Friendship Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Anhui Provincial Hospital Anhui China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology China\u2010Japan Friendship Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FJ","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology China\u2010Japan Friendship Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LJ","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology China\u2010Japan Friendship Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Q","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology China\u2010Japan Friendship Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"X","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology China\u2010Japan Friendship Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"YJ","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology China\u2010Japan Friendship Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Ling","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology China\u2010Japan Friendship Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,8,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2757-y"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12020"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.08.003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0b013e31827d8667"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1097\/SPV.0b013e318289c018","article-title":"Guidelines for privileging and credentialing physicians for sacrocolpopexy for pelvic organ prolapse","volume":"19","author":"American Urogynecologic Society\u2019s Guidelines Development, Committee","year":"2013","journal-title":"Female Pelvic Med Recontruct Surg"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2085-z"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1797-9"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2010.04.007"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1661-y"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-010-0160-2"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2655-3"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-1069-5"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20934"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-2025-3"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1361-z"},{"key":"e_1_2_11_17_1","first-page":"305107","article-title":"Deniz Altintas D, Aksin S. 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