缝线选择对腹式骶骨阴道固定术中缝线或补片侵蚀率及手术失败的影响。

Effect of suture selection on the rate of suture or mesh erosion and surgery failure in abdominal sacrocolpopexy.

作者信息

Shepherd Jonathan P, Higdon Homer Lee, Stanford Edward J, Mattox Thomas Fleming

机构信息

Department of Obstetrics and Gynecology, Magee Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA.

出版信息

Female Pelvic Med Reconstr Surg. 2010 Jul;16(4):229-33. doi: 10.1097/SPV.0b013e3181d683a3.

DOI:10.1097/SPV.0b013e3181d683a3

PMID:22453347

Abstract

OBJECTIVE

: To determine if suture type used for mesh attachment in abdominal sacrocolpopexy increases the rate of erosion/infection.

METHODS

: Two groups were temporally divided from June 1996 to May 2001 where braided permanent sutures (2-0 Ethibond, Ethicon, Somerville, New Jersey) were exclusively used for graft placement (n = 161) and from August 2001 to May 2006 where exclusively monofilament delayed absorbable (2-0 PDS, Ethicon) was used (n = 254). Data were analyzed for demographics, medical history, presenting/postoperative physical examination, concomitant surgeries, and complications.

RESULTS

: Mesh/suture exposure rate was 3.7% (6/161) with Ethibond. There were no erosions with PDS (P = 0.002). Colpopexy failure was 1.7% (2/116) with Ethibond and 0% (0/235) with PDS (P = 0.11).

CONCLUSIONS

: Delayed absorbable, monofilament suture appears to reduce the risk of graft/suture erosion without increasing surgical failure.

摘要

目的

确定在腹骶骨阴道固定术中用于固定网片的缝合线类型是否会增加侵蚀/感染率。

方法

1996年6月至2001年5月临时分为两组，其中编织永久性缝线（2-0 Ethibond，Ethicon公司，新泽西州萨默维尔）专门用于植入移植物（n = 161），2001年8月至2006年5月专门使用单丝延迟可吸收缝线（2-0 PDS，Ethicon公司）（n = 254）。对人口统计学、病史、术前/术后体格检查、同期手术和并发症的数据进行分析。