Skip Navigation LinksHome > June 2007 - Volume 50 - Issue 2 > Biologic Grafts and Synthetic Meshes in Pelvic Reconstructiv...
Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e31804b184c
Current Controversies in Gynecology

Biologic Grafts and Synthetic Meshes in Pelvic Reconstructive Surgery

CHEN, CHI CHIUNG GRACE MD; RIDGEWAY, BERI MD; PARAISO, MARIE FIDELA R. MD

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Abstract

Despite the lack of evidence, augmenting pelvic organ prolapse surgery with biologic graft or synthetic mesh is increasing. The objective of this review is to examine the available grafts and meshes and discuss the current data addressing the use of these implants in correction of apical, anterior, and posterior prolapse. Most of the studies are retrospective with few randomized controlled trials. There is level I evidence suggesting that repair of apical prolapse with abdominal sacral colpopexy using synthetic mesh results in improved outcomes. However, most of the data concerning graft or mesh incorporation in anterior or posterior repairs do not support augmentation with prosthesis.

© 2007 Lippincott Williams & Wilkins, Inc.

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