Abstract | INTRODUCTION AND HYPOTHESIS: Our objective was to establish the overall graft erosion rate in a synthetic graft-augmented repair 3 months postoperatively. METHODS: A retrospective chart review was performed on a cohort of subjects who underwent mesh-augmented vaginal reconstructive surgery during an 18-month period. We defined graft erosion as exposure of any mesh upon visual inspection of the entire vagina at the 3-month postoperative visit. Statistical tests performed to evaluate proportional differences were the Pearson chi square and Fisher exact tests. Independent t test was performed to compare mean differences. RESULTS: A total of 124 grafts were implanted. The overall erosion rate was 11.3%. There was a significantly lower erosion rate when using "commercial kits" vs. our traditional repairs (1.4% [one out of 69] vs. 23.6% [13 out of 55]; p < 0.001). CONCLUSIONS: Our study demonstrates a significantly lower erosion rate when using a "commercial kit" to repair pelvic organ prolapse compared to our traditional synthetic graft-augmented repair.
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Authors | Peter S Finamore, Karolynn T Echols, Krystal Hunter, Howard B Goldstein, Adam S Holzberg, Babak Vakili |
Journal | International urogynecology journal
(Int Urogynecol J)
Vol. 21
Issue 3
Pg. 285-91
(Mar 2010)
ISSN: 1433-3023 [Electronic] England |
PMID | 19960184
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Aged
- Female
- Gynecologic Surgical Procedures
(instrumentation)
- Humans
- Middle Aged
- Pelvic Organ Prolapse
(surgery)
- Postoperative Complications
(etiology)
- Retrospective Studies
- Risk Factors
- Surgical Mesh
(adverse effects)
- Vagina
(surgery)
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