AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Grafts offer no added protection against recurrence in pelvic prolapse.(Gynecology)
RANCHO MIRAGE, CALIF. -- Graft augmentation did not offer additional protection against recurrence in patients undergoing vaginal surgery for symptomatic pelvic organ prolapse and was linked to an increase in postoperative complications in a review of 312 cases.
Two specialists in the treatment of pelvic floor disorders performed the surgeries over a 5-year period and used their discretion in select cases to add graft augmentation to support the anterior vaginal wall, posterior vaginal wall, or both.
Over a median 9-month follow-up, there were no differences in recurrence of prolapse or incontinence, or in the need for additional surgery between the 32% of patients who received grafts and those women who did not, Babak Vakili, M.D., said during the annual meeting of the Society of Gynecologic Surgeons.
Patients receiving graft augmentation had higher rates of postoperative complications, including vaginal or graft infection (18% vs. 5%) and granulation tissue (39% vs. 17%).
As a result, patients with grafts needed more postoperative visits--an average of four visits versus three visits, said Dr. Vakili of Cooper University Hospital, Voorhees, N.J.
The mean length of follow-up was 12 months in the graft group and 15 months in the other patients.
Recurrence rates were similar in both groups. (See accompanying ...
- Preoperative pressures predict the success of vaginal wall sling surgery.
- Newspaper article from: Biotech Week February 25, 2004 700+ words
...Preoperative pressures predict the success of vaginal wall sling surgery. "Pubovaginal sling...for stress urinary incontinence. The vaginal wall sling was introduced in 1989 by Raz...underwent an isolated in situ anterior vaginal wall sling procedure by the same surgeon...
- Modified vaginal-wall patch sling works as first-line surgical approach.
- Newspaper article from: OBGYN & Reproduction Week July 5, 2004 700+ words
...amp; NewsRx.net) -- A modified vaginal-wall patch has a long-term success rate...incontinence (GSI). "The modified vaginal-wall patch sling technique appears to have...urethral hypermobility using a modified vaginal-wall patch sling technique," the researchers...
- Apligraf shows promise in building vaginal wall in Rokitansky syndrome.(Mayer...
- Magazine article from: OB GYN News Worcester, Sharon August 1, 2005 700+ words
NEW ORLEANS -- Apligraf has been used successfully to line a new vagina in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome. The human skin equivalent derived from human infant foreskin has been used widely for wound repair, but this is the first reported successful use for this purpose,
- Posterior colporrhaphy plus dermal graft eases bowel dysfunction.(Gynecology)
- Magazine article from: OB GYN News Boschert, Sherry June 1, 2005 700+ words
...colporrhaphy with AlloDerm graft augmentation significantly improved...in the posterior vaginal wall and was treated...colporrhaphy with AlloDerm graft augmentation shows good safety...colporrhaphy with AlloDerm graft augmentation. The investigators...
- Using mesh or grafts to augment repair.(MASTER CLASS)
- Magazine article from: OB GYN News Kohli, Neeraj June 1, 2006 700+ words
...repairs of the posterior vaginal wall that too often may...mousetrap, and mesh or graft augmentation is likely to be it...of weakness in the vaginal wall and subsequent stretching...tissue and narrow the vaginal wall. The next stage in...
- Reports outline pelvic organ prolapse research from University of Texas.(Report)
- Magazine article from: Women's Health Weekly November 13, 2008 700+ words
...synthesis and matrix degradation in the vaginal wall: potential role in the pathogenesis...affects elastic fiber homeostasis in the vaginal wall and the potential significance of these...MMP-2 and MMP-9 activity in the vaginal wall of nonpregnant and pregnant animals...
- Attention to bladder neck, apex crucial to paravaginal repair.(Key to Support)
- Magazine article from: OB GYN News Splete, Heidi July 15, 2003 700+ words
...into the presacral space, the anterior vaginal wall will rotate back, and it doesn't...cystocele. This is a stretching of the vaginal wall in response to pressure from the bladder...cystocele results when the anterior vaginal wall has rotated off its connection to the...
- Research from University of Miami has provided new information about...
- Magazine article from: Women's Health Weekly February 26, 2009 700+ words
...expression in women with and without anterior vaginal wall prolapse. Vaginal tissues were sampled...12) or without (n = 10) anterior vaginal wall prolapse." "Quantitative real-time...significantly decreased in women with anterior vaginal wall prolapse compared to women without ...
- Vaginal plenthysmography in women with dyspareunia.
- Magazine article from: The Journal of Sex Research Wouda, Jan C. Hartman, Petra M. Bakker, Riksta M. Bakker, Jan O. Wiel, Harry B.M. van de Schultz, Willibrord C.M. Wiejmar May 1, 1998 700+ words
...from the capillaries and to moisten the vaginal wall. This reaction generally takes place...immediate increase in vasocongestion in the vaginal wall. This response was also observed in...light source that is reflected by the vaginal wall depends on the level of vasocongestion...
- Research conducted at University of Miami, Medical Department has provided new...
- Magazine article from: Women's Health Weekly November 20, 2008 700+ words
...vagina in women with and without anterior vaginal wall prolapse. Vaginal tissues were sampled...6) or without (n=6) anterior vaginal wall prolapse undergoing hysterectomy...in the vagina of women with anterior vaginal wall prolapse was significantly decreased...
Source: HighBeam Research, Grafts offer no added protection against recurrence in pelvic...