Use of Surgisis for Treatment of Anterior and Posterior Vaginal Prolapse

Aim. To evaluate the anatomical success and complication rate of Surgisis in the repair of anterior and posterior vaginal wall prolapse. Methods. A retrospective review of 65 consecutive Surgisis prolapse repairs, involving the anterior and/or posterior compartment, performed between 2003 and 2009,...

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Main Authors: Sara Armitage, Elvis I. Seman, Marc J. N. C. Keirse
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2012/376251
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author Sara Armitage
Elvis I. Seman
Marc J. N. C. Keirse
author_facet Sara Armitage
Elvis I. Seman
Marc J. N. C. Keirse
author_sort Sara Armitage
collection DOAJ
description Aim. To evaluate the anatomical success and complication rate of Surgisis in the repair of anterior and posterior vaginal wall prolapse. Methods. A retrospective review of 65 consecutive Surgisis prolapse repairs, involving the anterior and/or posterior compartment, performed between 2003 and 2009, including their objective and subjective success rates using the pelvic organ prolapse quantification (POPQ) system. Results. The subjective success rate (no symptoms and no bulge beyond the hymen) was 92%, and the overall objective success rate (no subsequent prolapse in any compartment) was 66% (43 of 65). The overall reoperation rate for de novo and recurrent prolapse was 7.7% with 3 women undergoing repeat surgery at the same site (anterior compartment). No long-term complications occurred. Conclusions. Surgisis has a definite role in the surgical treatment of prolapse. It may decrease recurrences seen with native tissue repair and long-term complications of synthetic mesh. Its use in posterior compartment repair in particular is promising.
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spelling doaj-art-1c383938858a4739a8740bf3fc144a032025-02-03T05:59:34ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/376251376251Use of Surgisis for Treatment of Anterior and Posterior Vaginal ProlapseSara Armitage0Elvis I. Seman1Marc J. N. C. Keirse2Department of Obstetrics, Gynaecology and Reproductive Medicine, Flinders Medical Centre and Flinders University, Adelaide, SA 5042, AustraliaDepartment of Obstetrics, Gynaecology and Reproductive Medicine, Flinders Medical Centre and Flinders University, Adelaide, SA 5042, AustraliaDepartment of Obstetrics, Gynaecology and Reproductive Medicine, Flinders Medical Centre and Flinders University, Adelaide, SA 5042, AustraliaAim. To evaluate the anatomical success and complication rate of Surgisis in the repair of anterior and posterior vaginal wall prolapse. Methods. A retrospective review of 65 consecutive Surgisis prolapse repairs, involving the anterior and/or posterior compartment, performed between 2003 and 2009, including their objective and subjective success rates using the pelvic organ prolapse quantification (POPQ) system. Results. The subjective success rate (no symptoms and no bulge beyond the hymen) was 92%, and the overall objective success rate (no subsequent prolapse in any compartment) was 66% (43 of 65). The overall reoperation rate for de novo and recurrent prolapse was 7.7% with 3 women undergoing repeat surgery at the same site (anterior compartment). No long-term complications occurred. Conclusions. Surgisis has a definite role in the surgical treatment of prolapse. It may decrease recurrences seen with native tissue repair and long-term complications of synthetic mesh. Its use in posterior compartment repair in particular is promising.http://dx.doi.org/10.1155/2012/376251
spellingShingle Sara Armitage
Elvis I. Seman
Marc J. N. C. Keirse
Use of Surgisis for Treatment of Anterior and Posterior Vaginal Prolapse
Obstetrics and Gynecology International
title Use of Surgisis for Treatment of Anterior and Posterior Vaginal Prolapse
title_full Use of Surgisis for Treatment of Anterior and Posterior Vaginal Prolapse
title_fullStr Use of Surgisis for Treatment of Anterior and Posterior Vaginal Prolapse
title_full_unstemmed Use of Surgisis for Treatment of Anterior and Posterior Vaginal Prolapse
title_short Use of Surgisis for Treatment of Anterior and Posterior Vaginal Prolapse
title_sort use of surgisis for treatment of anterior and posterior vaginal prolapse
url http://dx.doi.org/10.1155/2012/376251
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