Adverse Events Associated With Pelvic Organ Prolapse Surgeries That Use Implants
| Autor: | Sharon Jakus-Waldman, John N. Nguyen, Keri S. Wong, Andrew J. Walter, Shawn A. Menefee, Colin T. Anderson-Smits, Cara J. Krulewitch, Terry White |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Biocompatible Materials Pelvic Organ Prolapse Prosthesis Implantation Postoperative Complications Interquartile range medicine Humans Adverse effect Device Removal Aged Retrospective Studies Aged 80 and over business.industry Medical record Obstetrics and Gynecology Retrospective cohort study Perioperative Middle Aged Surgical Mesh Prosthesis Failure Surgery Surgical mesh Female Median body Implant business Follow-Up Studies |
| Zdroj: | Obstetrics & Gynecology. 122:1239-1245 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/aog.0000000000000008 |
| Popis: | OBJECTIVE: To estimate the rate of vaginal implant exposure associated with biologic grafts and permanent mesh used for pelvic organ prolapse (POP) surgery, to describe treatments used for these complications, and to estimate response rates to these treatments. The secondary aims were to describe the operative and perioperative complications. METHODS: This was a retrospective analysis of female members of Kaiser Permanente Southern and Northern California and Hawaii who underwent POP surgeries with biologic grafts and permanent mesh between September 2008 and May 2010. Inpatient and outpatient electronic medical records were reviewed for postoperative adverse events. RESULTS: During the 21-month period, 1,282 women, mean age of 62 years (±10 standard deviation), median parity of 3 (interquartile range 2-4), and median body mass index of 28 (interquartile range 24-30) underwent prolapse repairs with 1,484 implants with a mean follow-up time of 358 days (±276 standard deviation). Vaginal exposures occurred more often with permanent mesh (53/847 [6%]) than biologic grafts (10/637 [1.6%]) (P |
| Databáze: | OpenAIRE |
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