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Int Urogynecol J. 2010 Jul;21(7):813-8. doi: 10.1007/s00192-010-1109-1. Epub 2010 Feb 26.

Suture complications in a teaching institution among patients undergoing uterosacral ligament suspension with permanent braided suture.

Author information

1
Division of Female Pelvic Medicine and Reconstructive Surgery, Harbor UCLA Medical Center, 1000 W. Carson Street, Torrance, CA 90509, USA. tyazdany@obgyn.humc.edu

Abstract

INTRODUCTION AND HYPOTHESIS:

Our study aimed to identify the rate of suture complications over a 5-year period using braided permanent suture for uterosacral ligament suspension (USLS) surgery.

METHODS:

We reviewed the medical records of patients who underwent vaginal uterosacral ligament suspensions using braided polyester suture. Outcome measures included rate and timing of suture complications, patient symptoms post-operatively, efficacy of treatment modalities and surgical success.

RESULTS:

Eighty-three patients had undergone USLS with braided, polyester suture over the study period that met inclusion criteria. Thirty-seven patients (44.6%) had suture-related complications post-operatively with a mean follow-up of 10.4 months. When only silver nitrate was applied, 16.7% improved, and when the suture was cut in clinic, 77.8% resolved.

CONCLUSIONS:

Permanent polyester braided suture for suspension of vaginal vault may lead to an unacceptably high suture erosion rate, cutting the suture in clinic results in the highest resolution.

PMID:
20186391
PMCID:
PMC2876261
DOI:
10.1007/s00192-010-1109-1
[Indexed for MEDLINE]
Free PMC Article
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