{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T09:10:46Z","timestamp":1783933846109,"version":"3.55.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the efficacy and safety of device-free concurrent sacrospinous fixation (SSF) performed at the time of vaginal hysterectomy using absorbable (polyglactin no. 1) versus nonabsorbable (polypropylene no. 1) sutures for preventing vaginal vault prolapse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A prospective, comparative, cohort study included 185 women undergoing vaginal hysterectomy for pelvic organ prolapse (POP) stages II\u2013IV from January 2016 to December 2018. Prophylactic SSF was performed in 90 patients using Polyglactin No. 1 sutures while in 95 patients using nonabsorbable sutures (Polypropylene No. 1). In both groups, Garg\u2019s technique was performed using Allis tissue forceps rather than a Capio device. Absorbable sutures (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 90) were passed through the full thickness from sacrospinous ligament and tied to the vault while nonabsorbable sutures (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 95) were placed submucosally in a double helix pattern and tied beneath the mucosa. The outcomes included anatomical success (POP-Q stage &lt; II), recurrence rates, complications, and quality of life. Follow-up occurred at 1 month, 6 months, and annually for 5 years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Anatomical success was achieved in 89\/90 (98.9%) patients till 5 years with absorbable sutures, with a vault prolapse recurrence rate of 1.1% (1\/90) versus 4.2% (4\/95) with nonabsorbable sutures (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.37). The complications included fever (1.1%) and urinary tract infection (UTI) (3.3%). No suture exposure or granuloma formation occurred with absorbable sutures, unlike 2.1% with nonabsorbable sutures (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.50). Garg\u2019s technique reduced the cost by avoiding Capio device.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Concurrent sacrospinous fixation using Polyglactin no. 1 sutures with a simplified device-free technique demonstrated high long-term anatomical success rate and lower complication rates comparable to nonabsorbable sutures. This approach may be particularly useful in the resource-constrained settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmh.jmh_64_26","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T08:00:30Z","timestamp":1783497630000},"page":"248-252","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Device-free, Cost-effective Sacrospinous Fixation Using Absorbable versus Nonabsorbable Sutures: A 5-Year Prospective, Cohort Study"],"prefix":"10.4103","volume":"17","author":[{"given":"Ruchika","family":"Garg","sequence":"first","affiliation":[{"name":"Professor, Department of Obstetrics and Gynaecology, S.N. Medical College, Agra, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelansha","family":"Varshney","sequence":"additional","affiliation":[{"name":"Senior Resident, Department of Obstetrics and Gynaecology, S.N. Medical College, Agra, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"R1-20260713","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1177\/2053369120937594","article-title":"Pelvic organ prolapse management","volume":"26","author":"Fleischer","year":"2020","journal-title":"Post Reprod Health"},{"key":"R2-20260713","doi-asserted-by":"crossref","first-page":"275621","DOI":"10.1155\/2009\/275621","article-title":"Vaginal vault prolapse","volume":"2009","author":"Uzoma","year":"2009","journal-title":"Obstet Gynecol Int"},{"key":"R3-20260713","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1002\/ijgo.14751","article-title":"Sacrospinous fixation: Review of relevant anatomy and surgical technique","volume":"162","author":"Goh","year":"2023","journal-title":"Int J Gynaecol Obstet"},{"key":"R4-20260713","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/AOG.0000000000005032","article-title":"Permanent compared with absorbable suture in apical prolapse surgery: A systematic review and meta-analysis","volume":"141","author":"Pollack","year":"2023","journal-title":"Obstet Gynecol"},{"key":"R5-20260713","first-page":"58","article-title":"Transvaginal sacrospinous ligament fixation for pelvic organ prolapse stage III and stage IV uterovaginal and vault prolapse","volume":"40","author":"Gupta","year":"2015","journal-title":"Iran J Med Sci"},{"key":"R6-20260713","first-page":"373","article-title":"Management of vaginal prolapse: Sacrospinous ligament fixation techniques and suture material considerations","volume":"42","author":"Chaliha","year":"2015","journal-title":"Obstet Gynecol Clin North Am"},{"issue":"(10)","key":"R7-20260713","first-page":"e47858","article-title":"Antibiotic Prophylaxis in Surgery: Current Insights and Future Directions for Surgical Site Infection Prevention","volume":"15","author":"Dhole","year":"2023","journal-title":"Cureus"},{"key":"R8-20260713","first-page":"1","article-title":"Vaginal sacrospinous ligament fixation: outcomes of absorbable compared to permanent suture","volume":"41","author":"Murillo","year":"2025","journal-title":"J Gynecol Surg"},{"key":"R9-20260713","first-page":"58","article-title":"Transvaginal sacrospinous ligament fixation for pelvic organ prolapse stage III and stage IV uterovaginal and vault prolapse","volume":"40","author":"Gupta","year":"2015","journal-title":"Iran J Med Sci"},{"key":"R10-20260713","doi-asserted-by":"crossref","first-page":"273","DOI":"10.3390\/jfb15090273","article-title":"Short-term hydrolytic degradation of mechanical properties of absorbable surgical sutures: A comparative study","volume":"15","author":"Szabelski","year":"2024","journal-title":"J Funct Biomater"},{"key":"R11-20260713","first-page":"4014","article-title":"Sacrospinous ligament fixation for prevention and treatment of vaginal vault prolapse: a retrospective study of 45 cases","volume":"5","author":"Ramesh Kumar","year":"2016","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"R12-20260713","doi-asserted-by":"crossref","first-page":"321","DOI":"10.33314\/jnhrc.v16i3.1482","article-title":"Outcome of sacrospinous ligament fixation of the vault during repair of pelvic organ prolapse","volume":"16","author":"Dangal","year":"2018","journal-title":"J Nepal Health Res Counc"},{"key":"R13-20260713","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.ejogrb.2023.02.014","article-title":"Permanent or absorbable suture material for sacrospinous ligament fixation: Does it matter?","volume":"283","author":"Padoa","year":"2023","journal-title":"Eur J Obstet Gynecol Reprod Biol"}],"container-title":["Journal of Mid-life Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/jmh.jmh_64_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T09:00:31Z","timestamp":1783933231000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/jmh.jmh_64_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jmh.jmh_64_26","relation":{},"ISSN":["0976-7800","0976-7819"],"issn-type":[{"value":"0976-7800","type":"print"},{"value":"0976-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2026-02-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}