A Comparison of the Incidence of Early Postoperative Infections between Patients Using Synthetic Mesh and Those Undergoing Traditional Pelvic Reconstructive Surgical Procedures
| Autor: | Petr Hubka, D. Mašatová, A Martan, Anna Jedličková, Kamil Svabik, M. Poislová, Karel Zvara, Jaromir Masata, Kobilková J |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery Time Factors lcsh:Medicine Infections Polypropylenes Vaginal wall Sepsis Gynecologic Surgical Procedures medicine Humans Prospective Studies Synthetic polypropylene mesh Inflammation lcsh:R5-920 Pelvic organ business.industry Incidence Incidence (epidemiology) General surgery lcsh:R General Medicine Middle Aged Surgical Mesh Surgical procedures medicine.disease Febrile morbidity Pelvic organ prolapse Surgery Postoperative infections Female lcsh:Medicine (General) business Surgical site infection |
| Zdroj: | ResearcherID Scopus-Elsevier Prague Medical Report, Vol 114, Iss 2, Pp 81-91 (2013) Petr Hubka |
| ISSN: | 2336-2936 1214-6994 |
| DOI: | 10.14712/23362936.2014.26 |
| Popis: | New mesh-related complications such as erosion, etc., can result from abnormal postoperative healing due to surgical site infection. The aim of our study was to compare systemic inflammatory responses and the incidence of early infectious complications after reconstructive surgery using synthetic mesh and after traditional vaginal wall repair. In this prospective observational study 99 women with symptomatic pelvic organ prolapse were included; 55 women underwent traditional repair and 44 repair using mesh. After the procedure infectious complications were monitored. The patients who underwent reconstructive surgery using mesh material were more likely to have febrile morbidity in the postoperative period than the patients who had been treated with traditional repair (p=0.031); there was a higher incidence of combination febrile morbidity with elevated C-reactive protein (CRP) > 50 mg/l; p=0.046, and a higher incidence of CRP increase over 30 mg/l; p=0.005. Reconstructive procedures using synthetic mesh are accompanied by a higher incidence of early post-operative infectious complications. |
| Databáze: | OpenAIRE |
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