Condition: Apical Prolapse · Sacrocolpopexy · Glue Fixation · Sponsor: Brno University Hospital
The aim of the study is to evaluate the effect of cyanoacrylate adhesive in laparoscopic sacrocolpopexy, which is the gold standard treatment for apical prolapse. The procedure is predominantly performed using minimally invasive techniques, such as laparoscopic or robotic methods. However, the operative time for this procedure often exceeds 180 minutes due to its technical complexity. Although the experience level of the surgical team can lead to a decrease in operative time, there is a concerning increase in the risk of postoperative complications as the duration of surgery extends. One strategy to mitigate overall operative time is to reduce the fixation time of the implant to the vaginal wall. Standard fixation involves using several sutures, but alternative fixation methods, including barbed sutures and cyanoacrylate adhesives, may demonstrate a reduction in fixation time. While there are only a few studies available on the use of cyanoacrylate adhesives for implant fixation, they generally indicate that this method is safe and can achieve an objective success rate of over 96% in resolving apical descent. However, the reported operative time using glue varies significantly across studies, ranging from 69 to 173 minutes. The aim of the current study is to assess the impact of a synthetic cyanoacrylate-based tissue adhesive on various factors, including implant fixation time, overall length of surgery, short- and long-term postoperative complications, risk of prolapse rec…
This description comes directly from the study's public registry record.
Samuel Tvarozek, MD · +420532238207 · tvarozek.samuel@fnbrno.cz
Martina Szypulová, MD · +420532233975 · szypulova.martina@fnbrno.cz
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| Brno University Hospital | Brno, Czech Republic, Czechia | Recruiting |
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Source record: clinicaltrials.gov/study/NCT06872983