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Mesh Doesn't Improve Vaginal Prolapse Cure Rate.
LAKE BUENA VISTA, FLA. -- The addition of resorbable polyglactin 910 mesh during anterior colporrhaphy did not improve vaginal prolapse cure rates, compared with standard anterior colporrhaphy or "ultralateral" anterior colporrhaphy in a prospective, randomized trial of 83 women.
After a median of 23 months of followup, 30% of the standard anterior colporrhaphy group had satisfactory or optimal anatomic results, compared with 42% of the group receiving standard colporrhaphy plus polyglactin 910 (Vicryl) mesh and 46% of women receiving ultralateral anterior colporrhaphy, in which tissue is dissected and plicated very laterally, outside of the normal vaginal plane of dissection.
These differences were not statistically significant, Dr. Anne M. Weber reported at the annual meeting of the Society of Gynecologic Surgeons.
The addition of resorbable polyglactin 910 mesh is sometimes thought to help create a more stable repair by providing a temporary buttress during the healing process, but that result was not apparent in this study, Dr. Weber said.
None of the three types of ...
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Source: HighBeam Research, Mesh Doesn't Improve Vaginal Prolapse Cure Rate.