title: Outcomes of vaginal reconstructive surgery with and without graft material.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Cooper University Hospital, University of Medicine and Dentistry of New Jersey--Robert Wood Johnson School of Medicine, Camden, NJ, USA.
authors.forename: Babak
authors.initials: B
authors.lastname: Vakili
authors.forename: Trang
authors.initials: T
authors.lastname: Huynh
authors.forename: Holly
authors.initials: H
authors.lastname: Loesch
authors.forename: Nicholas
authors.initials: N
authors.lastname: Franco
authors.forename: Ralph R
authors.initials: RR
authors.lastname: Chesson
mesh_terms: D000368:Aged; D001672:Biocompatible Materials; D005206:Fascia Lata / Q000637:transplantation; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D015999:Multivariate Analysis; D019651:Plastic Surgery Procedures; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*
chemical_list: D001672:Biocompatible Materials