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- Title
Uterosacral ligament vaginal vault suspension using delayed absorbable monofilament suture.
- Authors
Wong, Micheline; Rezvan, Azadeh; Bhatia, Narender; Yazdany, Tajnoos
- Abstract
Introduction and hypothesis: We investigated the incidence of suture complications and recurrent prolapse following uterosacral ligament suspension (USLS) using delayed absorbable polyglyconate monofilament suture (Maxon™). Methods: We reviewed the medical records of subjects who underwent vaginal USLS using polyglyconate suture. Primary outcomes were suture complications and anatomic failures defined as recurrent apical prolapse stage 1 or greater. Secondary outcomes were subjective failures and reoperation rate for apical prolapse. Results: Fifty-seven out of 68 subjects who underwent USLS with polyglyconate suture over the study period were included in analysis. At median follow-up of 12 months, 3.5% had suture complications. The anatomic and symptomatic failure rate was 7%. One subject underwent repeat surgery for prolapse. Conclusions: Suture complications are uncommon using polyglyconate suture for USLS, and failure rates are low. This is in comparison to a 44.6% suture erosion rate with permanent suture reported by our institution using the same surgical technique.
- Subjects
VAGINAL vault prolapse; SUTURES; SURGICAL complications; LIGAMENT injuries; PROLAPSE of bodily organs; THERAPEUTICS
- Publication
International Urogynecology Journal, 2011, Vol 22, Issue 11, p1389
- ISSN
0937-3462
- Publication type
Article
- DOI
10.1007/s00192-011-1470-8