Abdominal sacrocolpopexy: anatomic outcomes and complications with Pelvicol, autologous and synthetic graft materials. American journal of obstetrics and gynecology [Am J Obstet Gynecol] Journal article | | Title | Abdominal sacrocolpopexy: anatomic outcomes and complications with Pelvicol, autologous and synthetic graft materials. | | Author(s) | Quiroz LH, Gutman RE, Shippey S, Cundiff GW, Sanses T, Blomquist JL, Handa VL | | Institution | Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA. lquiroz1@jhmi.edu | | Source | Am J Obstet Gynecol 2008 May; 198(5):557.e1-5. | | MeSH | Adult
Aged
Fascia
Female
Gynecologic Surgical Procedures
Humans
Middle Aged
Prostheses and Implants
Reoperation
Retrospective Studies
Sacrum
Surgical Mesh
Suture Techniques
Treatment Outcome
Uterine Prolapse
Vagina
| | Abstract | OBJECTIVE: The purpose of this study was to compare anatomic outcomes and graft-related complications (GRCs) for abdominal sacrocolpopexy (ASC) with Pelvicol (CR BARD, Murray Hill, NJ), autologous fascia, and synthetic grafts.
STUDY DESIGN: This is a retrospective cohort study of ASC from 2001-2005. We reviewed anatomic outcomes and GRCs. Apical failure was defined as >stage 0.
RESULTS: Of 259 ASC procedures, Pelvicol was used in 102 procedures (39%); synthetic mesh in 134 procedures (52%), and autologous fascia in 23 procedures (9%). Mean postoperative follow up was 1.1 years. Apical failure by graft group were Pelvicol 10 (11%), synthetics 1 (1%), and autologous 1 (7%; P = .011). All 7 reoperations for apical prolapse were in the Pelvicol group. GRCs occurred in 16% of the cases, with a higher proportion of erosions in the Pelvicol group (11% vs 3% and 4%; P = .045). Reoperations as a result of GRC were similar between groups.
CONCLUSION: ASC is more likely to fail with Pelvicol than with synthetic or autologous grafts. The use of Pelvicol did not reduce graft-related complications in this population. | | Language | eng | | Pub Type(s) | Comparative Study
Journal Article
| | PubMed ID | 18455533 |
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