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Volume : 40 Issue : 4 Year : 2021
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pelviperineology. 2007; 26(4): 174-177 | DOI:

The effect of suture material on outcomes of surgery for pelvic organ prolapse

HOWARD B. GOLDSTEIN1, BABAK VAKILI1, NICHOLAS FRANCO2, KAROLYNN T. ECHOLS1, RALPH R. CHESSON2
1Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Cooper University Hospital, University of Medicine and Dentistry of New Jersey - Robert Wood Johnson School of Medicine at Camden, 2Department of Obstetrics and Gynecology Division of Urogynecology and Reconstructive Pelvic Surgery, Louisiana State University Health Sciences Center

OBJECTIVE: :To evaluate the effect of using different suture material on outcomes of surgery for pelvic organ prolapse.
METHODS: :This was a retrospective cohort study of all patients having undergone surgery for pelvic organ prolapse from February 1997 to June 2003. All subjects underwent a comprehensive evaluation with ensuing surgery for pelvic organ prolapse.
RESULTS: :Of the 505 cases of surgery for prolapse, information on suture material was available on 423 procedures (83.8%). Poly L-lactide/glycolide (Panacryl®) was found to have the highest incidence of granulation tissue/infection (53.3%/13.3%) followed by polybutilate-coated polyester (Ethibond®) (26.3%/10.3%), polypropylene (Prolene®) (10.9%/4.5%), and polydioxanone (PDS®) (3.8%/2.5%). These differences were significant (p < 0.05). Granulation tissue was more common with vaginal surgery than other routes (19.8% vs. 7.4%), although the difference was not significant. While the overall incidence of recurrent prolapse was 33.9% (all stages) with 3.2% having stage 3 or 4 prolapse, only 9.9% required additional surgery for prolapse and/or incontinence. There was no significant difference in recurrence of prolapse or repeat surgery rates among the different suture materials.
CONCLUSIONS: :Braided sutures such as polyester and poly-L-lactide/glycolide had a much higher incidence of suture-related complications requiring treatment than monofilament sutures, making monofilament suture preferable in vaginal surgery.


Cite This Article

GOLDSTEIN H, VAKILI B, FRANCO N, ECHOLS K, CHESSON R. The effect of suture material on outcomes of surgery for pelvic organ prolapse. 2007; 26(4): 174-177

Corresponding Author: GOLDSTEIN H.

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