接受编织聚酯缝线骶棘韧带悬吊术患者的缝线侵蚀率及长期手术效果

Suture erosion rates and long-term surgical outcomes in patients undergoing sacrospinous ligament suspension with braided polyester suture.

作者信息

Toglia Marc R, Fagan Matthew J

机构信息

Division of Urogynecology, Department of Obstetrics and Gynecology, Mainline Health and Riddle Memorial Hospital, Media, PA, USA.

出版信息

Am J Obstet Gynecol. 2008 May;198(5):600.e1-4. doi: 10.1016/j.ajog.2008.02.049.

DOI:10.1016/j.ajog.2008.02.049

PMID:18455545

Abstract

OBJECTIVE

The objective of the study was to describe suture erosion rates and long-term surgical outcomes in patients undergoing sacrospinous ligament suspension (SSLS) using braided polyester suture.

STUDY DESIGN

This was a retrospective cohort study of patients undergoing SSLS for vaginal prolapse between 1999 and 2005. Outcomes included rate and timing of suture erosion and related symptoms, additional treatment, and long-term success rates.

RESULTS

Sixty-four of 92 subjects had SSLS with braided polyester suture and had an average follow-up of 26.5 months. Suture-related complications occurred in 36% of patients. Mean time to presentation was 18.9 months. Vaginal bleeding occurred in 74%, and suture removal was required in 70% of patients with symptoms. Recurrent prolapse developed in 27% of patients, but additional therapy was required in only 6%.

CONCLUSION

Permanent braided polyester sutures are associated with a high rate of suture-related complications over the long term and frequently require additional intervention to resolve associated symptoms.

摘要