title: The effect of suture characteristics on short-term morbidity after vaginal prolapse surgery.
abstract: Previous studies suggest that larger sutures increase the risk of complications after prolapse surgery. This study aimed to assess whether multifilament sutures increased complications compared with monofilament sutures. A series of 100 women with 2/0 multifilament suture were matched by operation to a previous cohort when a size 2/0 monofilament suture was used. Offensive vaginal discharge was more common in the multifilament than in the monofilament group (24% vs. 12%; p = 0.04). However, there was no increased requirement to seek advice from a health professional (33% vs. 25%; p = 0.27) or to require antibiotics. Vaginal bleeding (10% vs. 5%; p = 0.28) and urinary infection (2% vs. 5%; p = 0.44) were statistically no more common in the multifilament 2/0 compared with the monofilament 2/0 group. Multifilament sutures used for closure of the vaginal skin are associated with a clinically non-significant higher incidence of vaginal discharge in the early post-operative period.
authors.affiliation: a Department of Obstetrics and Gynaecology , Medway NHS Foundation Trust , Kent , UK.
authors.forename: G
authors.initials: G
authors.lastname: Mizon
authors.affiliation: a Department of Obstetrics and Gynaecology , Medway NHS Foundation Trust , Kent , UK.
authors.forename: J
authors.initials: J
authors.lastname: Duckett
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D011446:Prospective Studies; D013536:Suture Techniques / Q000009:adverse effects; D013537:Sutures / Q000009:adverse effects*; D014596:Uterine Prolapse / Q000601:surgery*; D019522:Vaginal Discharge / Q000453:epidemiology
keywords: After vaginal prolapse surgery, size 2/0 multifilament sutures cause more vaginal discharge than 2/0 monofilament sutures; infection pelvic organ prolapse surgery monofilament multifilament