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Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair
INTRODUCTION AND HYPOTHESIS: This study aims to compare native tissue abdominal and vaginal paravaginal repair, and to investigate whether surgical outcome was independent of operative route. METHODS: Retrospective comparison of 111 displacement cysto-urethrocoeles, repaired between 1997 and 2007. T...
Autores principales: | , , |
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Formato: | Texto |
Lenguaje: | English |
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Springer-Verlag
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072484/ https://www.ncbi.nlm.nih.gov/pubmed/21222112 http://dx.doi.org/10.1007/s00192-010-1347-2 |
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author | Reid, Richard I. You, Hui Luo, Kehui |
author_facet | Reid, Richard I. You, Hui Luo, Kehui |
author_sort | Reid, Richard I. |
collection | PubMed |
description | INTRODUCTION AND HYPOTHESIS: This study aims to compare native tissue abdominal and vaginal paravaginal repair, and to investigate whether surgical outcome was independent of operative route. METHODS: Retrospective comparison of 111 displacement cysto-urethrocoeles, repaired between 1997 and 2007. Treatment was by surgeon assignment, 52 women having abdominal (APVR) and 59 vaginal paravaginal repairs. Main outcome measures were same-site prolapse recurrence, time to failure and surgical complications. Initial reliability was evaluated by chi-square test, 10-year durability by Kaplan–Meier survival analysis and Cox proportional hazards model. RESULTS: When examined in the Cox proportional hazards model, anatomic results of APVR were more durable than a mechanically analogous transvaginal operation done [95% CI = 1.029–2.708 (p value = 0.038)]. Kaplan–Meier curves plateaued within 38 months. Symptom resolution was broadly equivalent. Surgical complication rate was 3.6%. CONCLUSIONS: Site-specific re-suture of torn native tissue has genuine curative potential. Most of the long-term success was attributable to site-specific repair, rather than non-specific scar formation. |
format | Text |
id | pubmed-3072484 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-30724842011-05-18 Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair Reid, Richard I. You, Hui Luo, Kehui Int Urogynecol J Original Article INTRODUCTION AND HYPOTHESIS: This study aims to compare native tissue abdominal and vaginal paravaginal repair, and to investigate whether surgical outcome was independent of operative route. METHODS: Retrospective comparison of 111 displacement cysto-urethrocoeles, repaired between 1997 and 2007. Treatment was by surgeon assignment, 52 women having abdominal (APVR) and 59 vaginal paravaginal repairs. Main outcome measures were same-site prolapse recurrence, time to failure and surgical complications. Initial reliability was evaluated by chi-square test, 10-year durability by Kaplan–Meier survival analysis and Cox proportional hazards model. RESULTS: When examined in the Cox proportional hazards model, anatomic results of APVR were more durable than a mechanically analogous transvaginal operation done [95% CI = 1.029–2.708 (p value = 0.038)]. Kaplan–Meier curves plateaued within 38 months. Symptom resolution was broadly equivalent. Surgical complication rate was 3.6%. CONCLUSIONS: Site-specific re-suture of torn native tissue has genuine curative potential. Most of the long-term success was attributable to site-specific repair, rather than non-specific scar formation. Springer-Verlag 2011-01-11 2011 /pmc/articles/PMC3072484/ /pubmed/21222112 http://dx.doi.org/10.1007/s00192-010-1347-2 Text en © The Author(s) 2011 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Original Article Reid, Richard I. You, Hui Luo, Kehui Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair |
title | Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair |
title_full | Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair |
title_fullStr | Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair |
title_full_unstemmed | Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair |
title_short | Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair |
title_sort | site-specific prolapse surgery. i. reliability and durability of native tissue paravaginal repair |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072484/ https://www.ncbi.nlm.nih.gov/pubmed/21222112 http://dx.doi.org/10.1007/s00192-010-1347-2 |
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