Risk factors for mesh erosion 3 months following vaginal reconstructive surgery using commercial kits vs. fashioned mesh-augmented vaginal repairs.

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.

• 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)

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)