E-Posters-Evaluation of 30-day Complication Rates following Vaginal Prolapse Repair with and without Vaginal Mesh Implants in a Propensity Score Matched Cohort

Evaluation of 30-day Complication Rates following Vaginal Prolapse Repair with and without Vaginal Mesh Implants in a Propensity Score Matched Cohort - Ryan Darvish, MD

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This study aimed to compare the complication rates of vaginal prolapse repair with and without vaginal mesh implants. The researchers used data from the American College of Surgeons National Surgical Quality Improvement Program database from 2010 to 2017. Propensity scores were used to match women who underwent mesh repair with those who had native tissue repair. The primary outcome was the composite complication rate.<br /><br />The study included 1,962 vaginal mesh repairs and 1,962 native tissue repairs. The demographics, age, BMI, smoking status, and medical comorbidities were similar between the two groups. The procedures using mesh took longer and were less likely to include a hysterectomy but more likely to include a sling or colporrhaphy. Rates of apical suspension were similar.<br /><br />Overall, there was no significant difference in complication rates between mesh repair and native tissue repair (10.9% vs 11.7%). Mesh repair was associated with a higher rate of blood transfusion but a lower rate of readmission compared to native tissue repair. However, after controlling for confounders, mesh was not found to be an independent predictor of complications.<br /><br />The study concluded that, in this propensity score matched cohort, vaginal prolapse repair with mesh is not associated with increased short-term complications compared to native tissue repair.<br /><br />There were several references cited in the study to support the findings. This study adds to the existing literature on the safety of using mesh in vaginal prolapse repair.

Keywords

complication rates

vaginal prolapse repair

vaginal mesh implants

American College of Surgeons

National Surgical Quality Improvement Program

propensity scores

native tissue repair

composite complication rate

mesh repairs

native tissue repairs