A Biomechanical Analysis of Cervical Fixation Methods (Tacks vs. Sutures) for Laparoscopic Apical Fixation in a Porcine Model

Introduction The incidence of apical uterine prolapse increases with age and often requires surgical correction with the use of alloplastic material. Laparoscopic cervicosacropexy is frequently performed, different materials (tacks vs. sutures) can be used to fix the mesh material to the cervix for apical fixation. The aim of this in-vitro study was to compare the biomechanical properties for fixation of PVDF-mesh to porcine cervix with single-button sutures and two types of tacks.