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Original article by Bruce farnsworth
Centre for Pelvic Reconstructive Surgery, Sydney Adventist Hospital, Wahroonga (Australia)

Posterior IVS for vault suspension: A re-evaluation



TABLE 1: Patient Characteristics.

 

Patient age Median 67 (Range 36-85)
Follow Up Median 3.9 years (Range 2-7)
Lost to follow-up 6 patients
Previous Repair 127 patients
Previous hysterectomy 127 patients



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TABLE 2. – Tape used in posterior IVS procedure.


Nylon Tape 49 patients
Multifilament polypropylene tape 78 patients



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TABLE 3. – Outcomes.

 

Apical failure 14 patients (11.67%)
Cystocoele 27 patients (22.5%)
Rectal trauma 2 patients (1.6 %)
Pudendal or inferior haemorrhoidal artery damage 0 patients
Nerve injury 0 patients
Ischiorectal abscess nylon tape 0 patients
Mesh extrusion nylon tape at 2 years 5 patients (10%)
Mesh extrusion nylon tape at 6 years 5 patients (10%)
Ischiorectal abscess multifilament polypropylene tape 3 patients
Mesh extrusion multifilament polypropylenetape at 2 years 2 patients (3%)
Mesh extrusion multifilament polypropylene tape at 6 years 8 patients (11%)
Clinical Infection of prosthesis 17 patients (14%)
Clinical tape rejection 9 patients (7.5%)
Post operative haematoma 5 patients (4%)
Blood transfusion 0 patients



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