title: A comparison of the incidence of early postoperative infections between patients using synthetic mesh and those undergoing traditional pelvic reconstructive surgical procedures.
abstract: New mesh-related complications such as erosion, etc., can result from abnormal postoperative healing due to surgical site infection. The aim of our study was to compare systemic inflammatory responses and the incidence of early infectious complications after reconstructive surgery using synthetic mesh and after traditional vaginal wall repair. In this prospective observational study 99 women with symptomatic pelvic organ prolapse were included; 55 women underwent traditional repair and 44 repair using mesh. After the procedure infectious complications were monitored. The patients who underwent reconstructive surgery using mesh material were more likely to have febrile morbidity in the postoperative period than the patients who had been treated with traditional repair (p=0.031); there was a higher incidence of combination febrile morbidity with elevated C-reactive protein (CRP) > 50 mg/l; p=0.046, and a higher incidence of CRP increase over 30 mg/l; p=0.005. Reconstructive procedures using synthetic mesh are accompanied by a higher incidence of early post-operative infectious complications.
authors.affiliation: Department of Obstetrics and Gynaecology, Charles University, Prague, Czech Republic. masata@volny.cz
authors.forename: J
authors.initials: J
authors.lastname: Mašata
authors.forename: A
authors.initials: A
authors.lastname: Martan
authors.forename: M
authors.initials: M
authors.lastname: Poislová
authors.forename: J
authors.initials: J
authors.lastname: Kobilková
authors.forename: D
authors.initials: D
authors.lastname: Mašatová
authors.forename: A
authors.initials: A
authors.lastname: Jedličková
authors.forename: K
authors.initials: K
authors.lastname: Svabík
authors.forename: P
authors.initials: P
authors.lastname: Hubka
authors.forename: K
authors.initials: K
authors.lastname: Zvára
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D015994:Incidence; D007239:Infections / Q000453:epidemiology*; D007249:Inflammation / Q000453:epidemiology*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011126:Polypropylenes; D011446:Prospective Studies; D013526:Surgical Mesh / Q000009:adverse effects*; D013997:Time Factors
chemical_list: D011126:Polypropylenes