Abdominal sacrocolpopexy: anatomic outcomes and complications with Pelvicol, autologous and synthetic graft materials

Lieschen H. Quiroz, Robert E. Gutman, Stuart Shippey, Geoffery W. Cundiff, Tatiana Sanses, Joan L. Blomquist, Victoria L. Handa

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: The purpose of this study was to compare anatomic outcomes and graft-related complications (GRCs) for abdominal sacrocolpopexy (ASC) with Pelvicol (CR BARD, Murray Hill, NJ), autologous fascia, and synthetic grafts. Study Design: This is a retrospective cohort study of ASC from 2001-2005. We reviewed anatomic outcomes and GRCs. Apical failure was defined as >stage 0. Results: Of 259 ASC procedures, Pelvicol was used in 102 procedures (39%); synthetic mesh in 134 procedures (52%), and autologous fascia in 23 procedures (9%). Mean postoperative follow up was 1.1 years. Apical failure by graft group were Pelvicol 10 (11%), synthetics 1 (1%), and autologous 1 (7%; P = .011). All 7 reoperations for apical prolapse were in the Pelvicol group. GRCs occurred in 16% of the cases, with a higher proportion of erosions in the Pelvicol group (11% vs 3% and 4%; P = .045). Reoperations as a result of GRC were similar between groups. Conclusion: ASC is more likely to fail with Pelvicol than with synthetic or autologous grafts. The use of Pelvicol did not reduce graft-related complications in this population.

Original languageEnglish (US)
Pages (from-to)557.e1-557.e5
JournalAmerican journal of obstetrics and gynecology
Volume198
Issue number5
DOIs
StatePublished - May 2008

Keywords

  • abdominal sacrocolpopexy
  • graft material
  • prolapse

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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