Finamore Peter S, Echols Karolynn T, Hunter Krystal, Goldstein Howard B, Holzberg Adam S, Vakili Babak
Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, NY 11501, USA.
Int Urogynecol J. 2010 Mar;21(3):285-91. doi: 10.1007/s00192-009-1005-8. Epub 2009 Dec 4.
Our objective was to establish the overall graft erosion rate in a synthetic graft-augmented repair 3 months postoperatively.
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.
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).
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.
我们的目标是确定术后3个月使用合成移植物增强修复时移植物整体侵蚀率。
对一组在18个月期间接受网状物增强阴道重建手术的受试者进行回顾性病历审查。我们将移植物侵蚀定义为术后3个月对整个阴道进行目视检查时发现任何网状物外露。用于评估比例差异的统计检验为Pearson卡方检验和Fisher精确检验。进行独立t检验以比较均值差异。
共植入124个移植物。整体侵蚀率为11.3%。使用“商业套件”时的侵蚀率明显低于我们的传统修复方法（1.4%[69个中的1个]对23.6%[55个中的13个]；p<0.001）。
我们的研究表明，与我们传统的合成移植物增强修复相比，使用“商业套件”修复盆腔器官脱垂时侵蚀率明显更低。
