Posterior repair with perforated porcine dermal graft
Int. braz. j. urol
; 34(1): 84-90, Jan.-Feb. 2008. ilus, tab
Artigo
em Inglês
| LILACS
| ID: lil-482946
Biblioteca responsável:
BR1.1
ABSTRACT
OBJECTIVE:
To compare postoperative vaginal incision separation and healing in patients undergoing posterior repair with perforated porcine dermal grafts with those that received grafts without perforations. Secondarily, the tensile properties of the perforated and non-perforated grafts were measured and compared. MATERIALS ANDMETHODS:
This was a non-randomized retrospective cohort analysis of women with stage II or greater rectoceles who underwent posterior repair with perforated and non-perforated porcine dermal grafts (PelvicolTM CR Bard Covington, GA USA). The incidence of postoperative vaginal incision separation (dehiscence) was compared. A secondary analysis to assess graft tensile strength, suture pull out strength, and flexibility after perforation was performed using standard test method TM 0133 and ASTM bending and resistance protocols.RESULTS:
Seventeen percent of patients (21/127) who received grafts without perforations developed vaginal incision dehiscence compared to 7 percent (5/71) of patients who received perforated grafts (p = 0.078). Four patients with vaginal incision dehiscence with non-perforated grafts required surgical revision to facilitate healing. Neither tensile strength or suture pull out strength were significantly different between perforated and non-perforated grafts (p = 0.81, p = 0.29, respectively). There was no difference in the flexibility of the two grafts (p = 0.20).CONCLUSION:
Perforated porcine dermal grafts retain their tensile properties and are associated with fewer vaginal incision dehiscences.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Transplante de Pele
/
Procedimentos de Cirurgia Plástica
/
Retocele
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Fatores de risco
Limite:
Idoso, 80 anos ou mais
/
Animais
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2008
Tipo de documento:
Artigo
País de afiliação:
Estados Unidos
Instituição/País de afiliação:
Atlanta Urogynecology Associates/US
/
Carolinas Medical Center/US
/
Greenville Hospital System/US