Risk factors for mesh erosion 3 months following vaginal reconstructive surgery using commercial kits vs. fashioned mesh-augmented vaginal repairs.
OBJECTIVE
Our objective was to establish the overall graft erosion rate in a synthetic graft-augmented repair 3 months postoperatively.


METHODS
A retrospective chart review was performed on a cohort of subjects who underwent mesh-augmented vaginal reconstructive surgery during an 18-month period. We defined graft erosion as exposure of any mesh upon visual inspection of the entire vagina at the 3-month postoperative visit. Statistical tests performed to evaluate proportional differences were the Pearson chi square and Fisher exact tests. Independent t test was performed to compare mean differences.


RESULTS
A total of 124 grafts were implanted. The overall erosion rate was 11.3%. There was a significantly lower erosion rate when using "commercial kits" vs. our traditional repairs (1.4% [one out of 69] vs. 23.6% [13 out of 55]; p < 0.001).


CONCLUSIONS
Our study demonstrates a significantly lower erosion rate when using a "commercial kit" to repair pelvic organ prolapse compared to our traditional synthetic graft-augmented repair.
Finamore
Peter S
PS
Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, NY 11501, USA. pfinamore@hotmail.com
Echols
Karolynn T
KT
Hunter
Krystal
K
Goldstein
Howard B
HB
Holzberg
Adam S
AS
Vakili
Babak
B
D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation*; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors; D013526:Surgical Mesh / Q000009:adverse effects*; D014621:Vagina / Q000601:surgery