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Erschienen in: International Urogynecology Journal 5/2012

01.05.2012 | Original Article

Long-term outcomes after native tissue vs. biological graft-augmented repair in the posterior compartment

verfasst von: Cara L. Grimes, Jasmine Tan-Kim, Emily L. Whitcomb, Emily S. Lukacz, Shawn A. Menefee

Erschienen in: International Urogynecology Journal | Ausgabe 5/2012

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Abstract

Introduction and hypothesis

We aimed to compare the outcomes of native tissue vs. biological graft-augmented repair in the posterior compartment. We hypothesized that the addition of graft would result in superior anatomic and functional outcomes.

Methods

A retrospective review of posterior repairs between 2001 and 2008 was performed to compare the anatomic and functional outcomes between native tissue and graft-augmented techniques. Mann–Whitney and chi-square tests were used. Power calculation determined that 32 subjects were needed in each group.

Results

One hundred twenty-four native tissue and 69 graft-augmented repairs were performed with a median follow-up of 35.8 months (range, 6 to 157 months). Anatomic success was similar for native tissue vs. graft (Bp < −1, 86% vs. 80% and Bp ≤ 0, 97% vs. 97%; all p > 0.05). Postoperative splinting and incomplete evacuation was greater in the graft group (splinting, 85% vs. 68%; p = 0.04 and incomplete evacuation, 85% vs. 64%; p = 0.03).

Conclusion

Long-term success of posterior repair is high. Graft augmentation does not appear to improve anatomic or functional outcomes.
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Metadaten
Titel
Long-term outcomes after native tissue vs. biological graft-augmented repair in the posterior compartment
verfasst von
Cara L. Grimes
Jasmine Tan-Kim
Emily L. Whitcomb
Emily S. Lukacz
Shawn A. Menefee
Publikationsdatum
01.05.2012
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 5/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1607-9

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