Reattachment of the endopelvic fascia to the apex during anterior colporrhaphy: does the type of suture matter?

Zebede, Salomón; Smith, Aimee L.; Lefevre, Roger; Aguilar, Vivian C.; Davila, G. Willy

doi:10.1007/s00192-012-1862-4

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…A few studies have evaluated the effect of the use of nonabsorbable suture material for plication of the fibromuscular layer in colporrhaphy. Zebede et al [20] reported that the use of nonabsorbable suture material for apical fixation with anterior colporrhaphy improved anatomic correction compared to the use of absorbable suture material. However, exposure to nonabsorbable sutures occurred in 15% of patients, and 40% required suture trimming to treat the exposure [20].…”

Section: Discussionmentioning

confidence: 99%

“…Zebede et al [20] reported that the use of nonabsorbable suture material for apical fixation with anterior colporrhaphy improved anatomic correction compared to the use of absorbable suture material. However, exposure to nonabsorbable sutures occurred in 15% of patients, and 40% required suture trimming to treat the exposure [20]. The use of nonabsorbable suture material in posterior colporrhaphy has also been reported to be associated with a higher rate of suture erosion/wound dehiscence than the use of absorbable suture material (31% vs. 9%) and the need for additional surgical intervention (16% vs. 0%) [21].…”

Section: Discussionmentioning

confidence: 99%

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Current techniques used to perform surgery for anterior and posterior vaginal wall prolapse in South Korea

et al. 2022

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Objective This study aimed to evaluate the current surgical techniques for anterior and posterior vaginal wall prolapse repair in South Korea.Methods A web-based questionnaire survey was sent to 780 members of the Korean Society of Obstetrics and Gynecology. The items assessed in the questionnaire were the demographic characteristics and current surgical techniques used for the correction of anterior and posterior vaginal wall prolapse.Results The response rate was 16%. There were variations in the suture materials and methods used for anterior and posterior colporrhaphy. Most respondents used only rapid absorbable suture materials to plicate the fibromuscular layer and close the mucosal layer of the anterior and posterior vaginal wall. Simple interrupted sutures are the most popular suture method for both the fibromuscular and mucosal layers. Thirty-one and eleven percent of the respondents used mesh for surgical correction of anterior and posterior vaginal wall prolapse, respectively. Concomitant perineorrhaphy was routinely performed with posterior vaginal wall repair by 42% of the respondents, whereas 58% performed perineorrhaphy only in cases with perineal defects.Conclusion There is considerable diversity in the current surgical techniques for anterior and posterior vaginal wall prolapse repair in Korea. Further research is required to standardize the surgical techniques.

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Section: Discussionmentioning

confidence: 99%