Suture erosion and wound dehiscence with permanent versus absorbable suture in reconstructive posterior vaginal surgery

Luck, Ali M.; Galvin, Shelley L.; Theofrastous, James P.

doi:10.1016/j.ajog.2004.11.029

Cited by 21 publications

(18 citation statements)

References 2 publications

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“…Luck et al also reported a higher incidence of suture erosion when using braided polyester suture (31.3%) compared with polyglactin 910 (9%) for posterior compartment and anal sphincter repair. Seventy percent were symptomatic and 16% of them required additional surgical intervention (29). We used prolene (polypropylene) or ethilon (nylon) sutures for SSF which are synthetic monofilament non-absorbable sutures.…”

Section: Discussionmentioning

confidence: 99%

Sacrospinous Ligament Fixation – A Malaysian’s Tertiary Centre Experience

Latip¹,

Ng²

2017

JSA

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During the study period from January 2008 to December 2012, 177 women had transvaginal sacrospinous ligament fixation (SSF) for vault suspension at General Hospital Kuala Lumpur. Of the 177 women, 133 (75.1%) had severe uterovaginal prolapse while 44 (24.9%) had post-hysterectomy vault prolapse. All patients with severe uterovaginal prolapse and rectocele undergone vaginal hysterectomy and posterior colporrhaphy respectively. A hundred and seventy-four patients (98.3%) had anterior repair whilst 48 (27.1%) received midurethral sling as concomitant procedure to vault suspension (SSF). The mean duration of surgery was 92.1±30.2 minutes and the mean estimated blood loss was 319±199.3mls. There was no surgical mortality. Two patients (1.1%) had rectal injuries. No patient had bladder injury or de novo urinary symptoms. The commonest immediate postoperative complications was fever (98; 55.4%) followed by buttock pain in 18 (10.2%) patients. Both complications were resolved with conservative measures. Seven patients (3.9%) had sutures erosion as late complications. Of the 177 women, 158 (89.3%) and 141 (79.7%) came for the 6 and 12 months follow-up, respectively. The success rate for all three compartments ranged from 92.4% to 98.1% at 6 months and reduced to range from 85.7% to 94.4% at 12 months. The highest success rate was observed in the posterior compartment followed by apical and anterior compartment. Equally, the recurrence rate was lowest in the posterior compartment (1.9%), followed by the central (3.8%) and anterior compartment (7.5%) at 6 months' review. This increased to 5.7% for rectocele, 7.8% for vault prolapse and 14.2% for cystocele at 12 months' follow-up. None had repeated surgery for prolapse recurrence during the study period. In conclusion, SSF remains a high priority in our therapeutic regime for the treatment of severe uterovaginal and vault prolapse as it has a reasonably good success rate with lower serious complications in the skillful hands.

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Section: Discussionmentioning

confidence: 99%

Sacrospinous Ligament Fixation – A Malaysian’s Tertiary Centre Experience

Latip¹,

Ng²

2017

JSA

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“…Sel target berada dalam keadaan eksitasi, mengeluarkan impuls nyeri dan dipengaruhi oleh substansi kimiawi yang dilepaskan oleh ujung saraf yang dikenal sebagai neurotransmit. 6 Chromic catgut merupakan benang natural bersifat dapat diserap (absorbable) dengan profil absorbsi 90-110 hari. Tujuh hari setelah penjahitan menggunakan benang chromic catgut, maka di sekeliling luka timbul peradangan kronik sedang, ditandai dengan munculnya makrofag dan limfosit.…”

Section: Pendahuluanunclassified

Perbandingan Sensasi Nyeri 48 Jam dan 42 Hari Pascasalin Menggunakan Benang Chromic Catgut dengan Fast Absorbing Polyglactin 910

Purwara¹,

Sukarsa²,

Sasotya³

et al. 2011

mkb

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AbstrakNyeri perineum akibat robekan yang terjadi pada saat persalinan dapat dirasakan segera setelah melahirkan atau beberapa bulan kemudian, sehingga menyebabkan dispareunia. Episiotomi sebagai profilaktik untuk melindungi integritas dasar panggul merupakan insisi bedah yang lurus dan rapi akan menggantikan laserasi kasar. Sensasi nyeri akibat penjahitan luka episiotomi dapat dikurangi dengan menggunakan benang yang cepat diabsorbsi. Tujuan penelitian ini untuk membandingkan sensasi nyeri perineum pascapenjahitan luka episiotomi menggunakan benang chromic catgut dengan fast absorbing polyglactin 910 terhadap nyeri perineum 48 jam dan 42 hari pascasalin. Penelitian ini dilakukan di Departemen Obstetri dan Ginekologi FK Universitas Padjadjaran-RS Dr. Hasan Sadikin Bandung periode Desember 2009-Maret 2010. Penilaian nyeri menggunakan visual analog scale (VAS) yang dilakukan 48 jam dan 42 hari pascasalin. Lima puluh dari 100 subjek penelitian dilakukan penjahitan dengan benang chromic catgut dan 50 subjek menggunakan benang fast absorbing polyglactin 910. Analisis uji chi-kuadrat 48 jam pascasalin, didapatkan hasil tidak ada perbedaan bermakna pada penggunaan kedua benang tersebut terhadap nyeri perineum (p=0,645). Analisis 42 hari pascasalin didapatkan perbedaan bermakna (p<0,001), kejadian bebas nyeri perineum lebih baik dengan penjahitan menggunakan benang fast absorbing polyglactin 910 (46 kasus atau 92%) dibandingkan dengan pemakaian benang chromic catgut (29 kasus atau 58%). Simpulan, penjahitan luka perineum menggunakan benang fast absorbing polyglactin 910 memberikan kejadian bebas nyeri perineum yang lebih baik dibandingkan dengan benang chromic catgut pada 42 hari pascasalin. [MKB. 2011;43(2):89-92]. Kata kunci: Chromic catgut, fast absorbing polyglactin 910, nyeri perineum Comparative Study of Pain Sensation at 48 hours and 42 Days Postpartum Using Chromic Catgut and Polyglactin 910 AbstractPerineal pain due to tears that occur during delivery can be felt immediately after birth or several months later, causing dyspareunia. Episiotomy as a prophylactic to protect the integrity of the pelvic floor is a straight and neat surgical incision will replace rough lacerations. Pain sensation due to episiotomy wound suturing can be reduced by using thread that quickly absorbed. The purpose of this study was to compare perineal pain sensation after suturing episiotomy wound using chromic catgut with using fast absorbing polyglactin 910. The perineal pain of both groups were evaluated 48 hours and 42 days post episiotomy using visual analog scale (VAS). This study was conducted at the Obstetrics and Gynecology Department, Faculty of Medicine Padjadjaran University/Dr. Hasan Sadikin Hospital period December 2009-March 2010. Fifty out of 100 subjects were sutured using chromic catgut and 50 were using fast-absorbing polyglactin 910. Chi-square test analysis at 48 hours postpartum, showed no significant perineal pain difference (p=0.645) of both groups but at 42 days the analysis showed a significant difference (p<0.0...

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“…Le polyester inséré par voie vaginale est associé à une forte prévalence d'exposition prothétique, supérieure à 30 % (NP4) [95,96].…”

Section: Limiter Les Complications Prothétiques Pour La Voie Vaginaleunclassified

“…Il y a moins d'exposition prothétique vaginale avec du polypropylène monofilament que du polypropylène multifilament ou le polyester (NP4) [94,95,97].…”

Section: Limiter Les Complications Prothétiques Pour La Voie Vaginaleunclassified

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Prévenir les complications de la chirurgie prothétique du prolapsus : recommandations pour la pratique clinique – Revue de la littérature

Deffieux

Savary

Letouzey

et al. 2011

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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Suture erosion and wound dehiscence with permanent versus absorbable suture in reconstructive posterior vaginal surgery

Cited by 21 publications

References 2 publications

Sacrospinous Ligament Fixation – A Malaysian’s Tertiary Centre Experience

Sacrospinous Ligament Fixation – A Malaysian’s Tertiary Centre Experience

Perbandingan Sensasi Nyeri 48 Jam dan 42 Hari Pascasalin Menggunakan Benang Chromic Catgut dengan Fast Absorbing Polyglactin 910

Prévenir les complications de la chirurgie prothétique du prolapsus : recommandations pour la pratique clinique – Revue de la littérature

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