Erschienen in:
01.03.2010 | Original Article
Risk factors for mesh erosion 3 months following vaginal reconstructive surgery using commercial kits vs. fashioned mesh-augmented vaginal repairs
verfasst von:
Peter S. Finamore, Karolynn T. Echols, Krystal Hunter, Howard B. Goldstein, Adam S. Holzberg, Babak Vakili
Erschienen in:
International Urogynecology Journal
|
Ausgabe 3/2010
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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.