Ann-Sophie Page

Glue CMA 103 Sutures only (n=20) Glue (n=20) Age (years) 64.9 ± 10.5 66.2 ± 13.6 BMI (kg/m2) 25.8 ± 3.7 27.8 ± 4.6 Concomitant LASHa 10 (50%) 8 (40%) Concomitant rectopexy 8 (40%) 9 (45%) Total operation time (min) 236.1 ± 57.2 198 ± 40.4 Total duration of mesh fixation to vault ± rectum (min) 51.35 ± 12.72 34.6 ± 6.2 Number of sutures Number of PDS sutures to the vault 15 [10-22] 4 [2-6] Number of Vicryl sutures to rectum 9 [7-12] 2 [1-3] Total number of sutures 21 [11-28] 6 [5-6] Table 1: Relevant demographics and intra-operative data. Data are limited to the mesh fixation phase of the procedure. Data are presented as mean ± SD, number (%), median [range]. aLASH: Laparoscopic subtotal hysterectomy. Sutures only Glue p-value Consumables cost (€) 194.54 ± 38.76 298.16 ± 31.59 <0.001 OR maintenance cost (€) 707.22 ± 175.14 477.22 ± 85.63 <0.001 Total cost (€) 901.76 ± 171.97 775.37 ± 86.62 <0.001 Table 2: Relevant cost components. Data are limited to the mesh fixation phase of the procedure. Data are presented as mean ± SD. Figure 2: Relative cost proportions of mesh fixation surgery depending on surgical method: OR maintenance cost (dark blue), glue cost (light blue) and suturing cost (orange).

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