A new reusable suturing device for vaginal sacrospinous fixation: feasibility and safety study

ObjectiveWe sought to evaluate the feasibility and safety of SeraPro® (Serag-Wiessner, Germany), an innovative reusable suturing device for vaginal sacrospinous ligament fixation.Study designWe 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.ResultsOverall, 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.ConclusionsThe SeraPro® reusable suturing device is a feasible and safe tool for sacrospinous ligament fixation during vaginal pelvic floor reconstruction.