Complication and Reoperation Rates After Apical Vaginal Prolapse Surgical Repair
- 1 February 2009
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Obstetrics & Gynecology
- Vol. 113 (2, Part 1), 367-373
- https://doi.org/10.1097/aog.0b013e318195888d
Abstract
To compare postoperative complication and reoperation rates for surgical procedures correcting apical vaginal prolapse. Eligible studies were selected through an electronic literature search covering January 1985 to January 2008 using PubMed, the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, and the Database of Abstracts of Reviews and Effects. Only clinical trials and observational studies addressing apical prolapse repair and recurrence or complication rates were included. The search was restricted to original articles published in English with 50 or more participants and a follow-up period of 3 months or longer. Oral platform and poster presentations from the American Urogynecological Society, the Society for Gynecologic Surgeons, the International Urogynecological Association, and the International Continence Society from January 2005 to December 2007 were hand searched to determine whether they were eligible for inclusion. Procedures were separated into three groups: traditional vaginal surgery, sacral colpopexy, and vaginal mesh kits. Complications were classified using the Dindo grading system. Weighted averages were calculated for each Dindo grade, complication, and reoperation. Dindo grade IIIa (433/3,425 women) and IIIb (245/3,425) rates were highest in the mesh kit group owing to higher rates of mesh erosion (198/3,425) and fistulae (8/3,425). Reoperation rates for prolapse recurrence were highest in the traditional vaginal surgery group (308/7,827). The total reoperation rate was greatest in the mesh kit group (291/3, 425, 8.5%). The rate of complications requiring reoperation and the total reoperation rate was highest for vaginal mesh kits despite a lower reoperation rate for prolapse recurrence and shorter overall follow-up.Keywords
This publication has 32 references indexed in Scilit:
- Should we use meshes in the management of vaginal prolapse?Current Opinion in Urology, 2008
- Vaginal surgery for pelvic organ prolapse using mesh and a vaginal support deviceBJOG: An International Journal of Obstetrics and Gynaecology, 2008
- Retrospective multicentre study of the new minimally invasive mesh repair devices for pelvic organ prolapseBJOG: An International Journal of Obstetrics and Gynaecology, 2007
- Anterior intravaginal slingplasty tunneller device for stress incontinence and posterior intravaginal slingplasty for apical vault prolapse: a 2-year prospective multicenter studyAmerican Journal of Obstetrics and Gynecology, 2007
- Mesh erosion in abdominal sacral colpopexy with and without concomitant hysterectomyAmerican Journal of Obstetrics and Gynecology, 2006
- Abdominal sacral suspensions: Analysis of complications using permanent meshAmerican Journal of Obstetrics and Gynecology, 2005
- Abdominal high uterosacral colpopexy and abdominal sacral colpopexy with mesh for pelvic organ prolapseInternational Journal of Gynecology & Obstetrics, 2005
- Repair of vaginal vault prolapse and pelvic floor relaxation using polypropylene meshNeurourology and Urodynamics, 2005
- Classification of Surgical ComplicationsAnnals of Surgery, 2004
- Pelvic support defects and visceral and sexual function in women treated with sacrospinous ligament suspension and pelvic reconstructionAmerican Journal of Obstetrics and Gynecology, 1996