title: High uterosacral ligament vaginal vault suspension: comparison of absorbable vs. permanent suture for apical fixation.
abstract: OBJECTIVE
  The primary objective of this study was to compare outcomes of absorbable and permanent suture for apical support with high uterosacral ligament vaginal vault suspension (HUSLS). The secondary objective was to investigate the rate of suture erosion.
  
  
  METHODS
  This was a retrospective study of patients who underwent HUSLS with delayed absorbable and primarily permanent suture. Apical support was calculated as a new variable: Percent of Perfect Ratio (POP-R). This variable measures apical support as the position of the apex in relation to vaginal length.
  
  
  RESULTS
  At 1-year follow-up, there was no significant difference in apical support between the two groups. The number of patients who suffered from suture erosion in the cohort that received permanent suture was 11 (22%).
  
  
  CONCLUSIONS
  Permanent suture, in comparison with delayed absorbable suture, for HUSLS does not offer significantly better apical support at short-term follow-up. It is also associated with a high rate of suture erosion.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Deparment of Gynecology and Obstetrics, Indiana University, 1633 North Capitol Ave, Indianapolis, IN 46202, USA. seshkasturi@yahoo.com
authors.forename: Seshadri
authors.initials: S
authors.lastname: Kasturi
authors.forename: Miriam
authors.initials: M
authors.lastname: Bentley-Taylor
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Woodman
authors.forename: Colin L
authors.initials: CL
authors.lastname: Terry
authors.forename: Douglass S
authors.initials: DS
authors.lastname: Hale
mesh_terms: D005260:Female; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques; D013537:Sutures; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*