Journal article title : polypropylene mesh predicts mesh exposure after sacrocolpopexy independent of known risk factors: a retrospective case-control study.The purpose of this retrospective case-control study was to assess risk factors for mesh exposure in sacrocolpopexy patients and to determine if ultra lightweight polypropylene (restorelle ) mesh impacted rates of mesh exposure.From 2003 to 2013, sacrocolpopexies included 133 cases and 261 controls (controls were randomly selected and matched to cases in a 2:1 ratio).In these cases, prolene mesh were used including ethibond sutures utilized for vaginal mesh attachment and sacral attachment.Pds sutures were also used in vaginal cuff, vaginal mesh attachment and sacral attachment.Results of the analysis noted that pelvicol with prolene mesh were associated with increased mesh exposure.Pds sutures decreased rates of mesh exposure.The use of ethibond sutures in vaginal and sacral attachment increased the rates of exposure.Known risk factors for mesh exposure, including smoking, advance stage of prolapse, and non-absorbable braided suture (ethibond), were confirmed in the study.Both mesh choice and suture selection remained important independent predictors of mesh exposure with heavier meshes increasing and monofilament suture decreasing rates of mesh exposure.
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