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Objective: This study was undertaken to evaluate the occurrence and management of mesh erosions in patients undergoing abdominal sacrocolpopexy. Study design: A retrospective chart review of the abdominal sacrocolpopexy procedure (n = 92)between 1997 and 2003 was performed. Patients with mesh erosion were identified. Incidence by graft type and treatment required for erosion resolution was analyzed with χ 2 and Fisher exact test. Results: Erosions occurred in 7.6 % (7/92). Erosions were identified only in patients with Gore-Tex (3/33, 9% ) or silicone-coated mesh (4/21, 19% ) compared with none of 38 patients with polypropylene mesh (n = 24) or fascia (n = 14) grafts (P =. 068.). Partial excision of exposed graft resolved all 3 Gore-Tex erosions, compared with none of the siliconecoated mesh erosions (P =. 03). Complete graft removal was required to resolve silicone-coated mesh erosions. Conclusion: We observed a high rate of erosion with Gore-Tex and siliconecoated mesh. Partial graft excision was adequate for Gore-Tex erosions, but complete graft removal was necessary to resolve erosions associated with silicone-coated mesh.
Study: A retrospective chart review of the abdominal sacrocolpopexy procedure (n = 92) between 1997 and 2003 was performed. Patients with mesh erosion were identified. Incidence by graft type and treatment required for erosion resolution was analyzed with χ 2 and Fisher exact test. Results: Erosions were found in 7.6% (7/92). Erosions were identified only in patients with Gore-Tex (3/33, 9%) or silicone-coated mesh (4/21, 19%) compared with none of 38 patients with polypropylene mesh (n = 24) or fascia (n = 14) grafts graft resolved all 3 Gore-Tex erosions, compared with none of the siliconecoated mesh erosions (P =. 03). Complete graft removal was required to resolve silicone-coated mesh erosions. Conclusion: We observed a high rate of erosion with Gore-Tex and siliconecoated mesh. Partial graf t excision was adequate for Gore-Tex erosions, but complete graft removal was necessary to resolve erosions associated with silicone-coated mesh.