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Surgical repair of anterior wall vaginal defects

Authors
 S.W. Bai  ;  H.J. Jung  ;  J.W. Kim  ;  S.K. Kim  ;  D.J. Chung  ;  M.J. Jeon 
Citation
 INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, Vol.98(2) : 147-150, 2007 
Journal Title
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN
 0020-7292 
Issue Date
2007
MeSH
Female ; Follow-Up Studies ; Gynecologic Surgical Procedures/adverse effects ; Gynecologic Surgical Procedures/methods* ; Humans ; Pelvic Floor/surgery* ; Postoperative Complications ; Surgical Mesh/adverse effects ; Uterine Prolapse/surgery*
Keywords
Internal anterior repair ; Anterior repair ; Anterior repair with polypropylene mesh ; Anterior wall defects
Abstract
OBJECTIVE:
To compare the clinical efficacy of 3 surgical procedures for central types of anterior vaginal wall defect.
METHODS:
A total of 138 patients diagnosed with central types of anterior vaginal wall defect who underwent classic transvaginal repair (n=72), transvaginal repair with polypropylene mesh (n=28), and internal repair (n=38) were followed up for at least 1 year.
RESULTS:
There were no differences in development of fever, vaginal erosion, detrusor overactivity, and voiding difficulty among the 3 groups, but the incidence of postoperative urinary tract infections was significantly higher in the polypropylene mesh repair group. The difference in preoperative and postoperative hemoglobin levels and wound infection incidence were significantly higher in the internal repair group. Moreover, the recurrence rate of the anterior vaginal wall defect was significantly higher at 1 year in the internal repair group.
CONCLUSION:
Transvaginal surgical repair seems to be more efficacious than internal surgical repair for central types of anterior vaginal wall defects.
Full Text
http://www.sciencedirect.com/science/article/pii/S0020729207002391
DOI
10.1016/j.ijgo.2007.04.019
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sei Kwang(김세광)
Kim, Jae Wook(김재욱)
Bai, Sang Wook(배상욱) ORCID logo https://orcid.org/0000-0001-7724-7552
Jeon, Myung Jae(전명재)
Chung, Da Jung(정다정)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96166
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