The use of dura mater allografts for abdominal sacral colpopexy: The university of miami experience

Carlos A. Medina, Paul A. Pietro, R. Wayne Whitted, Manuel Penalver

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Objectives: The role of synthetic mesh prostheses in abdominal sacral colpopexy has been well established; however, there are few reports on the use of cadaveric dura mater. The aim of this study is to report the authors’ experience of abdominal sacral colpopexy employing an homologous dura mater graft prosthesis as opposed to a synthetic mesh. Materials and Methods: Retrospective chart review of 97 patients who received an abdominal dura mater sacral colpopexy between December 1984 and June 1999. Attention was placed on reviewing complications related to the graft and site-specific recurrences. Results: The mean age was 58.2 years ± 11.2 years; 44% were receiving hormone replacement therapy. The mean follow-up time was 19 months, with 52% having a follow-up of at least 1 year and 32% 2 years or more. At follow-up 86 (90%) patients had good results, less than a grade 1 prolapse, five (5%) had recurrent vault prolapse, five had (5%) cystoceles, one had a rectocele, and six (6%) developed de novo urinary incontinence. Seven intraoperative complications occurred: two cystotomies; two colostomies; one retropubic bleed, enterotomy, and proctotomy. Twenty-five postoperative complications were identified among 20 (21%) patients; however, in only 10 patients was the procedure directly implicated. No graft-related complications were encountered at any time. Conclusion: Abdominal sacral colpopexy employing the interposition of dura mater graft offers yet another option in accomplishing this operation without the limitations of synthetic mesh.

Original languageEnglish (US)
Pages (from-to)247-251
Number of pages5
JournalJournal of Pelvic Surgery
Volume8
Issue number5
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Surgery

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