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  • Title: The effect of suture characteristics on short-term morbidity after vaginal prolapse surgery.
    Author: Mizon G, Duckett J.
    Journal: J Obstet Gynaecol; 2015; 35(6):625-7. PubMed ID: 25562704.
    Abstract:
    Previous studies suggest that larger sutures increase the risk of complications after prolapse surgery. This study aimed to assess whether multifilament sutures increased complications compared with monofilament sutures. A series of 100 women with 2/0 multifilament suture were matched by operation to a previous cohort when a size 2/0 monofilament suture was used. Offensive vaginal discharge was more common in the multifilament than in the monofilament group (24% vs. 12%; p = 0.04). However, there was no increased requirement to seek advice from a health professional (33% vs. 25%; p = 0.27) or to require antibiotics. Vaginal bleeding (10% vs. 5%; p = 0.28) and urinary infection (2% vs. 5%; p = 0.44) were statistically no more common in the multifilament 2/0 compared with the monofilament 2/0 group. Multifilament sutures used for closure of the vaginal skin are associated with a clinically non-significant higher incidence of vaginal discharge in the early post-operative period.
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