Outcomes of vaginal reconstructive surgery with and without graft material

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• 作者：Babak Vakili ; Trang Huynh ; Holly Loesch ; Nicholas Franco ; Ralph R. Chesson
• 关键词：Pelvic organ prolapse ; Vaginal surgery ; Graft ; Complications ; Surgical outcome
• 刊名：American Journal of Obstetrics and Gynecology
• 出版年：2005
• 出版时间：December 2005
• 年：2005
• 卷：193
• 期：6
• 页码：2126-2132
• 全文大小：150 K

文摘

Objective

This study was undertaken to evaluate the outcomes of vaginal surgery for pelvic organ prolapse, comparing cases implementing graft augmentation to those without graft augmentation.

Study design

This was a retrospective cohort study of 312 patients who underwent vaginal surgery for prolapse from February 1998 to January 2004.

Results

Of the 312 patients, 98 (31.4 % ) had graft augmentation. The median follow-up was 9 months (3-67 months). Graft use was not associated with reduction in recurrent prolapse, recurrent stage 3 prolapse, recurrent incontinence, or additional surgery for prolapse. After controlling for confounders, there was still no difference in surgical outcomes. Complications such as vaginal/graft infection (18.4 % vs 4.7 % ; P < .001) and granulation tissue (38.8 % vs 17.3 % ; P < .001) were more common after cases in which graft was used.

Conclusion

In the early postoperative period, there was no benefit in using graft for prolapse repair. Graft use leads to a higher rate of postoperative complications.