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International Urogynecology Journal

Erschienen in:

01.12.2008 | Review

Adjuvant materials in anterior vaginal wall prolapse surgery: a systematic review of effectiveness and complications

verfasst von: Richard Foon, Philip Toozs-Hobson, P. M. Latthe

Erschienen in: International Urogynecology Journal | Ausgabe 12/2008

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Abstract

The objective of this study is to assess the objective recurrence and complications of adjuvant materials in the treatment of anterior vaginal wall prolapse. The inclusion criteria were randomised controlled trials (RCTs) using adjuvant materials versus standard surgery for anterior vaginal wall prolapse. The main outcome measures were objective recurrence and complications. Ten RCTs (1,087 patients) were included in the systematic review. Meta-analysis showed a lower risk of objective recurrence after 1 year in the patients having an anterior repair with a biological adjuvant material (odds ratio 0.56; 95% confidence interval 0.34–0.92) and absorbable synthetic adjuvant material (odds ratio 0.44; 95% confidence interval 0.21–0.89). The evidence for the use of biological adjuvant materials in anterior vaginal wall prolapse surgery shows trends towards reduction of objective recurrence at 12 months.

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Titel: Adjuvant materials in anterior vaginal wall prolapse surgery: a systematic review of effectiveness and complications
verfasst von: Richard Foon
Philip Toozs-Hobson
P. M. Latthe
Publikationsdatum: 01.12.2008
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 12/2008
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-008-0668-x

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