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Re: Pelvic Floor Repair

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 31 Oct 1999 10:41:32 -0600 (CST)


At Fri, 29 Oct 1999, Pauline wrote: >
>I would like to know how new is the use of cadaver fascia and Alladerm
>for giving support to the bladder in Pelvic Floor reconstruction.

Relatively new since theory behind repairs of pelvic floor abnormalities as hernias requiring "hernia repair technniques" in relatively new.

>What
>is the major complication from it?

Interewstingly enough, no major complications above those of major surgery.

>Additionally have you ever heard of
>using permanent stitches instead of absorbable ones using when using
>cadaver fascia.

I'm sure that studies are now being done as to the best suture material with the least drawbacks.

>What are the drawbacks and if they
>are permanent can you feel them even after recovery?

Shouldn't. the permanent sutures would be convered by the vaginal mucosa (vaginal wall).

>Can they cause
>infection simply by being there? Does the body reject them?

Work in progress.

>Thank you for your answer
>
>--
>Pauline
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)






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