title: A new reusable suturing device for vaginal sacrospinous fixation: feasibility and safety study.
abstract: OBJECTIVE
  We sought to evaluate the feasibility and safety of SeraPro(®) (Serag-Wiessner, Germany), an innovative reusable suturing device for vaginal sacrospinous ligament fixation.
  
  
  METHODS
  We reviewed the electronic files of all women who underwent vaginal sacrospinous ligament fixation with SeraPro(®) for apical pelvic floor prolapse, with or without mesh implant, performed between April 2013 and September 2013. Preoperative demographic, clinical, operative and postoperative data were analyzed. The women were interviewed and examined before the procedure, at one month postoperatively and tele-interviewed again after three months.
  
  
  RESULTS
  Overall, 88 women were included in the study. Fifty-three patients (60.2%) had additional anterior mesh placement, 42 (47.7%) had posterior mesh, and 16 (18.2%) had both anterior and posterior mesh insertion. Five patients (5.7%) had no mesh implant. Sixteen patients (18.2%) had an additional mid-urethral sling for the treatment of stress urinary incontinence. No significant technical difficulty was recorded at the procedures. None of the patients had significant long-term morbidity. The mean 3-month follow-up demonstrated significant anatomical and functional improvement.
  
  
  CONCLUSIONS
  The SeraPro(®) reusable suturing device is a feasible and safe tool for sacrospinous ligament fixation during vaginal pelvic floor reconstruction.
authors.affiliation: Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Talia
authors.initials: T
authors.lastname: Friedman
authors.affiliation: Urogynecology, Department of Obstetrics and Gynecology, Western Galilee Hospital, Israel; Faculty of Medicine in the Galilee, Bar Ilan University, Safed, Israel; Assuta Medical Center of Tel Aviv and Rishon LeZion, Israel.
authors.forename: Menahem
authors.initials: M
authors.lastname: Neuman
authors.affiliation: Urogynecology, Department of Obstetrics and Gynecology, Rabin Medical Center, Petach Tikva, Affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Yoav
authors.initials: Y
authors.lastname: Peled
authors.affiliation: Urogynecology, Department of Obstetrics and Gynecology, Rabin Medical Center, Petach Tikva, Affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: haimkr@clalit.org.il.
authors.forename: Haim
authors.initials: H
authors.lastname: Krissi
mesh_terms: D000368:Aged; D004414:Dyspareunia / Q000209:etiology; D017743:Equipment Reuse; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012189:Retrospective Studies; D013526:Surgical Mesh; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome; D014555:Urination Disorders / Q000209:etiology; D014621:Vagina / Q000601:surgery*
keywords: Pelvic organ prolapse; Sacrospinous ligament fixation