Abdominal Sacral Colpopexy Using Autologous Fascia Lata

Abstract

Autologous fascia lata compares favorably in efficacy to that reported for other materials in the contemporary literature and it is not associated with any significant morbidity.

Treatment of total pelvic organ prolapse using a whole biological patch: A pilot study of 17 patients

“…The most appropriate patch‐insertion location must be near the bladder and rectum and the continuity of the fornix must be maintained. The upper part of the patch should be sutured to the uterosacral ligament and sacrospinous ligament, while the lateral part of the patch should be stabilized at the ATFP . The suture lines are surrounded by vital organs and abundant blood vessels and nerves.…”

“…The upper part of the patch should be sutured to the uterosacral ligament and sacrospinous ligament, while the lateral part of the patch should be stabilized at the ATFP. 20 The suture lines are surrounded by vital organs and abundant blood vessels and nerves. Moreover, transvaginal surgery involves a limited visual field, and many procedures require blind techniques, making the surgery very risky.…”

Surgical Repair of Pelvic-Floor Prolapse: Lessons Learned from Longitudinal Follow-Up of Quality-of-Life Survey

“…Although surgical repair of cystocele is an effective modality, the wide variety of surgical techniques suggests how difficult to manage regarding the substantial recurrence rate as well as postoperative complications. Recent publications have described the advantage of abdominal sacral colpopexy [1], pubovaginal sling using various materials including cadaver allograft fascia [2], autologous fascia [1] and synthetic polypropylene mesh materials [3]. However, vaginally introduced mesh for pelvic-organ prolapse repair has been reported up to 26 % mesh erosion rate and up to 38 % dyspareunia rate [4].…”

Follow up of surgical repair of female pelvic floor disorders by a mailed questionnaire

“…Severe cystocele develops because of weakness of the levator sling and pubocervical fascia, resulting in defects of the vesicopelvic fascia either in a central defect, or a lateral one caused by lateral descent of the tendious arc at the attachment of the fascia 1,2 . Recent publications have described the advantage of abdominal sacral colpopexy, 3 pubovaginal sling using various materials including cadaver allograft fascia, 4 autologous fascia 3 and synthetic materials 5 . However, the overall incidence of synthetic graft erosion into the vagina was reported to be 9% with up to a 35% removal rate 6 .…”