Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.14/139938
58 Visitors
62 Hits
1 Downloads
- Title
- Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair
- Related
- International urogynecology journal, Vol. 22, Issue 5, (2011), p.591-599
- DOI
- 10.1007/s00192-010-1347-2
- Publisher
- Springer
- Date
- 2011
- Author/Creator
- Reid, Richard I
- Author/Creator
- You, Hui
- Author/Creator
- Luo, Kehui
- Description
- Introduction and hypothesis: This study aims to compare native tissue abdominal and vaginal paravaginal repair, and to investigate whether surgical outcome was independent of operative route. Methods: Retrospective comparison of 111 displacement cysto-urethrocoeles, repaired between 1997 and 2007. Treatment was by surgeon assignment, 52 women having abdominal (APVR) and 59 vaginal paravaginal repairs. Main outcome measures were same-site prolapse recurrence, time to failure and surgical complications. Initial reliability was evaluated by chi-square test, 10-year durability by Kaplan-Meier survival analysis and Cox proportional hazards model. Results: When examined in the Cox proportional hazards model, anatomic results of APVR were more durable than a mechanically analogous transvaginal operation done [95% CI=1.029-2.708 (p value=0.038)]. Kaplan-Meier curves plateaued within 38 months. Symptom resolution was broadly equivalent. Surgical complication rate was 3.6%. Conclusions: Site-specific re-suture of torn native tissue has genuine curative potential. Most of the long-term success was attributable to site-specific repair, rather than nonspecific scar formation.
- Description
- 9 page(s)
- Subject Keyword
- Abdominal and vaginal paravaginal repair
- Subject Keyword
- Biocompatible materials
- Subject Keyword
- Connective tissue pathology
- Subject Keyword
- Cystocoele aetiology
- Subject Keyword
- Reconstructive surgical procedures
- Subject Keyword
- Surgical complications
- Resource Type
- journal article
- Organisation
- Macquarie University. Dept. of Statistics
- Identifier
- http://hdl.handle.net/1959.14/139938
- Identifier
- ISSN:0937-3462
- Identifier
- mq_res-ext-2-s2.0-79960010938
- Language
- eng
- Reviewed
List Of Titles
