To determine if suture type used for mesh attachment in abdominal sacrocolpopexy increases the rate of erosion/infection.
Two groups were temporally divided from June 1996 to May 2001 where braided permanent sutures (2-0 Ethibond, Ethicon, Somerville, New Jersey) were exclusively used for graft placement (n = 161) and from August 2001 to May 2006 where exclusively monofilament delayed absorbable (2-0 PDS, Ethicon) was used (n = 254). Data were analyzed for demographics, medical history, presenting/postoperative physical examination, concomitant surgeries, and complications.
Mesh/suture exposure rate was 3.7% (6/161) with Ethibond. There were no erosions with PDS (P = 0.002). Colpopexy failure was 1.7% (2/116) with Ethibond and 0% (0/235) with PDS (P = 0.11).
Delayed absorbable, monofilament suture appears to reduce the risk of graft/suture erosion without increasing surgical failure.
Monofilament delayed-absorbable suture seems to reduce suture and/or mesh erosion when compared with braided permanent suture. We were unable to demonstrate an increased rate of colpopexy failure.
From the *Department of Obstetrics and Gynecology, Magee Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA; †Department of Obstetrics and Gynecology, Greenville Hospital System, University Medical Center, Greenville, SC; ‡Center for Advanced Pelvic Surgery, Urogynecology, and Obstetrics/Gynecology, St. Mary's/Good Samaritan Hospital, Centralia, IL; and §Carolina Continence Center, Greenville, SC.
Reprints: Jonathan P. Shepherd, MD, Department of Obstetrics and Gynecology, University of Pittsburgh Medical Center, 300 Halket St., Pittsburgh, PA 15213. E-mail: email@example.com.