Effect of Miya hook ligature carrier and Capio device on prolapse
Research type
Research Study
Full title
A cohort comparative study to explore outcomes at one year following sacro-spinous fixation using Miya hook ligature carrier and Capio suturing device.
IRAS ID
141408
Contact name
Ashish Pradhan
Contact email
Sponsor organisation
Hinchingbrooke Healthcare NHS Trust
Research summary
By the age of 80 years, 11% of women undergo surgery for plevic organ prolapse.(1) (Olson AL, 1997)
Sacrospinous fixation is recommended surgical method for correcting pelvic prolapse that results from inadequate support of the vaginal vault. It is advised to be performed routinely in the event of marked utero-vaginal prolapse( vault descending to the introitus), following hysterectomy and/or anterior vaginal wall repair.
There are different techniques and devices, developed for the performance of SSF.
MIYA hook ligature carrier and Capio suturing device are being utilised in our unit.
The patients are selected opportunistically by the operator‘s preferences for performing the procedure. Both methods require placement of a suture through the right sacrospinous ligament and securing the upper vaginal wall to it. This effectively restores the the vaginal wall and corrects the prolapse.
Both methods require vaginal approach and require a degree of dissection and retraction. The Capio suturing device necessitating minimal finger dissection to the pararectal space without the need for use of retractors and visualisation of the sacro-spinous ligament as in the Miya hook approach.
MIYA hook ligature carrier can be utilised multiple times with the need to replace the suture only, where the Capio device is a disposable throw-and-catch suturing device.(Capio,Boston Scientific Corp,Natick, MA)
Our study aims at comparing the patient satisfaction, discomfort, success rate, complication rates of MIYA hook ligature carrier and Capio suturing device.
Patient’s satisfaction and symptoms will be assessed using the ICIQ(International consultation on continence questionnaire) pelvic prolapse symptoms questionnaire. A postal or telephone questionnaire will be completed for patients that have undergone the procedure between August 2012 and March 2013 by a specialist uro-gynaecologists in a General district hospital.REC name
East Midlands - Derby Research Ethics Committee
REC reference
14/EM/0197
Date of REC Opinion
28 May 2014
REC opinion
Further Information Favourable Opinion