Suture Complication Rates and Surgical Outcomes According to the Nonabsorbable Suture Materials Used in Vaginal Uterosacral Ligament Suspension: Polyester versus Polypropylene.
J Minim Invasive Gynecol
; 28(8): 1503-1507, 2021 08.
Article
em En
| MEDLINE
| ID: mdl-33310165
ABSTRACT
STUDY OBJECTIVE:
To evaluate suture complication rates and surgical outcomes according to the nonabsorbable suture materials used in vaginal uterosacral ligament suspension (USLS) surgery. Multifilament polyester (polyethylene terephthalate [PET]) and monofilament polypropylene (PP) sutures were compared.DESIGN:
Retrospective cohort study.SETTING:
Single teaching hospital. PATIENTS Total of 229 patients who underwent transvaginal USLS and completed a 1-year follow-up.INTERVENTIONS:
Use of PET and PP sutures for transvaginal USLS procedures. MEASUREMENTS AND MAINRESULTS:
PP sutures were used in 149 patients, and PET sutures were used in 80 patients. The suture-related complication rates, including granulation tissue and suture erosion at the vaginal apex, were significantly higher in the PET suture group than in the PP suture group (46.3% vs 20.1%, p <.01). However, there was no significant difference in the rates of surgical failure (defined as the presence of vaginal bulging symptoms, apical descent ≥ half of the total vaginal length, anterior or posterior vaginal wall descent beyond the hymen, or retreatment for prolapse) between the 2 groups (pâ¯=â¯.84).CONCLUSION:
Compared with the use of multifilament PET sutures, the use of monofilament PP sutures in transvaginal USLS may reduce suture-related complications without increasing surgical failure rates.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Prolapso Uterino
/
Prolapso de Órgão Pélvico
Tipo de estudo:
Observational_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
J Minim Invasive Gynecol
Assunto da revista:
GINECOLOGIA
Ano de publicação:
2021
Tipo de documento:
Article