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  • Title: Suture erosion rates and long-term surgical outcomes in patients undergoing sacrospinous ligament suspension with braided polyester suture.
    Author: Toglia MR, Fagan MJ.
    Journal: Am J Obstet Gynecol; 2008 May; 198(5):600.e1-4. PubMed ID: 18455545.
    Abstract:
    OBJECTIVE: The objective of the study was to describe suture erosion rates and long-term surgical outcomes in patients undergoing sacrospinous ligament suspension (SSLS) using braided polyester suture. STUDY DESIGN: This was a retrospective cohort study of patients undergoing SSLS for vaginal prolapse between 1999 and 2005. Outcomes included rate and timing of suture erosion and related symptoms, additional treatment, and long-term success rates. RESULTS: Sixty-four of 92 subjects had SSLS with braided polyester suture and had an average follow-up of 26.5 months. Suture-related complications occurred in 36% of patients. Mean time to presentation was 18.9 months. Vaginal bleeding occurred in 74%, and suture removal was required in 70% of patients with symptoms. Recurrent prolapse developed in 27% of patients, but additional therapy was required in only 6%. CONCLUSION: Permanent braided polyester sutures are associated with a high rate of suture-related complications over the long term and frequently require additional intervention to resolve associated symptoms.
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