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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Format: | Article |
Language: | English |
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Wiley
2012-01-01
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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. |
format | Article |
id | doaj-art-1c383938858a4739a8740bf3fc144a03 |
institution | Kabale University |
issn | 1687-9589 1687-9597 |
language | English |
publishDate | 2012-01-01 |
publisher | Wiley |
record_format | Article |
series | Obstetrics and Gynecology International |
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 |
work_keys_str_mv | AT saraarmitage useofsurgisisfortreatmentofanteriorandposteriorvaginalprolapse AT elvisiseman useofsurgisisfortreatmentofanteriorandposteriorvaginalprolapse AT marcjnckeirse useofsurgisisfortreatmentofanteriorandposteriorvaginalprolapse |