title: [Use of glue in laparoscopic sacrocolpopexy. A comparative study about 32 cases].
abstract: OBJECTIVE
  To study the impact of the use of glue instead of some laparoscopic sutures, on the operative time, the morbidity, and the short-term anatomical and functional results in the laparoscopic sacrocolpopexy (LSCP).
  
  
  METHODS
  Thirty-two patients underwent a LSCP at Poissy-St-Germain-en-Laye University Hospital. The fixation of prostheses was made either exclusively by sutures (Group S), or by associating sutures (on traction sites) and biological glue (GroupC). Comparison was made after pairing on the number of prostheses associated surgery. Patients' satisfaction was assessed thanks to the validated PGI-I questionnaire.
  
  
  RESULTS
  The mean operative time (178.7 [Group S] vs 173.1 minutes [Group C]) and the mean hospital stay (3.94 [Group S] vs 3.31 days [Group C]) were not significantly different. Anatomical results (POP-Q) and the mean satisfaction rate in the short-term were similar in both groups (1.67 [Group S] vs 1.30 [Group C]. Morbidity was also similar in both groups; no serious complications have been experienced.
  
  
  CONCLUSIONS
  The use of the glue in the LSCP did not significantly reduce the operative time. However, the use of glue for the adhesion of prostheses in addition to sutures has shown its safety and efficacy compared to the conventional technique (sutures exclusively) since the morbidity, the anatomical results and satisfaction rate are identical in the short-term. A study involving a larger number of patients with a longer follow-up seems necessary.
authors.affiliation: Service de gynécologie obstétrique et médecine de la reproduction, centre hospitalier intercommunal de Poissy/Saint-Germain-en Laye, 10, rue du Champ-Gaillard, 78303 Poissy, France.
authors.forename: C
authors.initials: C
authors.lastname: Willecocq
authors.affiliation: Service de gynécologie obstétrique et médecine de la reproduction, centre hospitalier intercommunal de Poissy/Saint-Germain-en Laye, 10, rue du Champ-Gaillard, 78303 Poissy, France. Electronic address: ac_pizzoferrato@yahoo.com.
authors.forename: A-C
authors.initials: AC
authors.lastname: Pizzoferrato
authors.affiliation: Service de gynécologie obstétrique et médecine de la reproduction, centre hospitalier intercommunal de Poissy/Saint-Germain-en Laye, 10, rue du Champ-Gaillard, 78303 Poissy, France.
authors.forename: A
authors.initials: A
authors.lastname: Fauconnier
authors.affiliation: Service de gynécologie obstétrique et médecine de la reproduction, centre hospitalier intercommunal de Poissy/Saint-Germain-en Laye, 10, rue du Champ-Gaillard, 78303 Poissy, France.
authors.forename: G
authors.initials: G
authors.lastname: Bader
mesh_terms: D000269:Adhesives; D000368:Aged; D002584:Cervix Uteri; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D061646:Operative Time; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012445:Sacrococcygeal Region; D013526:Surgical Mesh; D013537:Sutures; D016896:Treatment Outcome
chemical_list: D000269:Adhesives
keywords: Colle synthétique chirurgicale; Glue; Laparoscopic sacrocolpopexy; Laparoscopic sutures; Morbidity; Morbidité; Operative time; Promontofixation laparoscopique; Satisfaction; Satisfaction rate; Sutures laparoscopiques