Wound dehiscence prevalence and relationship with prosthetic material extrusion in women who underwent anterior colpotomy

Aim: To assess the prevalence of anterior vaginal wall dehiscence in women who underwent anterior vaginal wall colpotomy for pelvic organ prolapse or stress urinary incontinence and to evaluate the influence of suture materials and techniques on wound dehiscence. Materials and Methods: This multicen...

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Autores principales:	Matteo Balzarro, Emanuele Rubilotta, Vito Mancini, Maurizio Serati, Marilena Gubbiotti, Andrea Braga, Omar Saleh, Marco Torrazzina, Ewelina Malanowska, Sergio Serni, Giuseppe Carrieri, Alessandro Antonelli, Vincenzo Li Marzi
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/a3f629fe23f14cacad77aa769b50f8b1
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spelling	oai:doaj.org-article:a3f629fe23f14cacad77aa769b50f8b12021-11-25T12:33:19ZWound dehiscence prevalence and relationship with prosthetic material extrusion in women who underwent anterior colpotomy1756-288010.1177/17562872211058246https://doaj.org/article/a3f629fe23f14cacad77aa769b50f8b12021-11-01T00:00:00Zhttps://doi.org/10.1177/17562872211058246https://doaj.org/toc/1756-2880Aim: To assess the prevalence of anterior vaginal wall dehiscence in women who underwent anterior vaginal wall colpotomy for pelvic organ prolapse or stress urinary incontinence and to evaluate the influence of suture materials and techniques on wound dehiscence. Materials and Methods: This multicenter, prospective study enrolled naïve women for urogynecological surgery affected by anterior vaginal wall defect or stress urinary incontinence. Performed surgical procedures were anterior vaginal wall repair (AVWR) with native tissue (N-AVWR) or polypropylene mesh (M-AVWR), trans-obturator polypropylene in-out middle urethral sling (MUS). Used suture materials were Vicryl 2-0, Vicryl Rapide 2-0, and Monocryl 3-0. Suture techniques were running interlocking or interrupted. Follow-up was performed daily during hospitalization and in outpatient clinic after 10–14, 30 days, and after 3 months. Results: A total of 1139 patients were enrolled. AVWR were 790: 89.1% N-AVWR, and 10.9% M-AVWR. Polypropylene MUS were 349. Women with prosthetic implantation were 38.2%, while 61.8% had native tissue repair. Overall Vicryl was used in 53.9%, Vicryl Rapide in 37.4%, and Monocryl in 8.7%. Overall running interlocking sutures were 66.5%, while interrupted were 33.5%. Overall wound dehiscence prevalence was 0.9% (10/1139). Wound dehiscence rate of 0.6% (5/790) was documented in AVWR: 0.3% (2/704) in N-AVWR, and 3.5% (3/86) in M-AVWR. Among women underwent MUS, 1.4% (5/349) showed wound dehiscence. In patients who underwent prosthetic surgery, the overall dehiscence prevalence was 1.8% (8/435). A statistically significant higher rate of wound dehiscence was found in women with implanted prosthetic materials. Discussion: We reported for the first time the prevalence of wound dehiscence in females who underwent colpotomy for AVWR or MUS. Wound dehiscence occurrence was low, but non-negligible. We found that this complication was poorly associated to the suture methods and materials, while prosthetic material represented a risk factor for wound healing.Matteo BalzarroEmanuele RubilottaVito ManciniMaurizio SeratiMarilena GubbiottiAndrea BragaOmar SalehMarco TorrazzinaEwelina MalanowskaSergio SerniGiuseppe CarrieriAlessandro AntonelliVincenzo Li MarziSAGE PublishingarticleDiseases of the genitourinary system. UrologyRC870-923ENTherapeutic Advances in Urology, Vol 13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Matteo Balzarro Emanuele Rubilotta Vito Mancini Maurizio Serati Marilena Gubbiotti Andrea Braga Omar Saleh Marco Torrazzina Ewelina Malanowska Sergio Serni Giuseppe Carrieri Alessandro Antonelli Vincenzo Li Marzi Wound dehiscence prevalence and relationship with prosthetic material extrusion in women who underwent anterior colpotomy
description	Aim: To assess the prevalence of anterior vaginal wall dehiscence in women who underwent anterior vaginal wall colpotomy for pelvic organ prolapse or stress urinary incontinence and to evaluate the influence of suture materials and techniques on wound dehiscence. Materials and Methods: This multicenter, prospective study enrolled naïve women for urogynecological surgery affected by anterior vaginal wall defect or stress urinary incontinence. Performed surgical procedures were anterior vaginal wall repair (AVWR) with native tissue (N-AVWR) or polypropylene mesh (M-AVWR), trans-obturator polypropylene in-out middle urethral sling (MUS). Used suture materials were Vicryl 2-0, Vicryl Rapide 2-0, and Monocryl 3-0. Suture techniques were running interlocking or interrupted. Follow-up was performed daily during hospitalization and in outpatient clinic after 10–14, 30 days, and after 3 months. Results: A total of 1139 patients were enrolled. AVWR were 790: 89.1% N-AVWR, and 10.9% M-AVWR. Polypropylene MUS were 349. Women with prosthetic implantation were 38.2%, while 61.8% had native tissue repair. Overall Vicryl was used in 53.9%, Vicryl Rapide in 37.4%, and Monocryl in 8.7%. Overall running interlocking sutures were 66.5%, while interrupted were 33.5%. Overall wound dehiscence prevalence was 0.9% (10/1139). Wound dehiscence rate of 0.6% (5/790) was documented in AVWR: 0.3% (2/704) in N-AVWR, and 3.5% (3/86) in M-AVWR. Among women underwent MUS, 1.4% (5/349) showed wound dehiscence. In patients who underwent prosthetic surgery, the overall dehiscence prevalence was 1.8% (8/435). A statistically significant higher rate of wound dehiscence was found in women with implanted prosthetic materials. Discussion: We reported for the first time the prevalence of wound dehiscence in females who underwent colpotomy for AVWR or MUS. Wound dehiscence occurrence was low, but non-negligible. We found that this complication was poorly associated to the suture methods and materials, while prosthetic material represented a risk factor for wound healing.
format	article
author	Matteo Balzarro Emanuele Rubilotta Vito Mancini Maurizio Serati Marilena Gubbiotti Andrea Braga Omar Saleh Marco Torrazzina Ewelina Malanowska Sergio Serni Giuseppe Carrieri Alessandro Antonelli Vincenzo Li Marzi
author_facet	Matteo Balzarro Emanuele Rubilotta Vito Mancini Maurizio Serati Marilena Gubbiotti Andrea Braga Omar Saleh Marco Torrazzina Ewelina Malanowska Sergio Serni Giuseppe Carrieri Alessandro Antonelli Vincenzo Li Marzi
author_sort	Matteo Balzarro
title	Wound dehiscence prevalence and relationship with prosthetic material extrusion in women who underwent anterior colpotomy
title_short	Wound dehiscence prevalence and relationship with prosthetic material extrusion in women who underwent anterior colpotomy
title_full	Wound dehiscence prevalence and relationship with prosthetic material extrusion in women who underwent anterior colpotomy
title_fullStr	Wound dehiscence prevalence and relationship with prosthetic material extrusion in women who underwent anterior colpotomy
title_full_unstemmed	Wound dehiscence prevalence and relationship with prosthetic material extrusion in women who underwent anterior colpotomy
title_sort	wound dehiscence prevalence and relationship with prosthetic material extrusion in women who underwent anterior colpotomy
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/a3f629fe23f14cacad77aa769b50f8b1
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Wound dehiscence prevalence and relationship with prosthetic material extrusion in women who underwent anterior colpotomy

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