Contents
This editorial discusses the ongoing debate between the use of permanent versus absorbable sutures in sacrocolpopexy, a surgical procedure for pelvic organ prolapse. Historically, permanent sutures were the norm, especially during the era of open surgery. However, with the advent of laparoscopic and robotic-assisted approaches, many urogynecologists have transitioned to using delayed absorbable sutures, which are associated with a lower risk of suture exposure. Recent clinical trials indicate that delayed absorbable sutures do not lead to higher failure rates compared to permanent sutures, making them a reasonable option for mesh attachment to the vagina. The author advocates for the use of absorbable sutures to reduce complications like suture exposure while urging continued efforts to lower the overall mesh exposure rate, which remains around 10% in the long term.
Citation
El-Nashar SA. At the Scrub Sink: Permanent Versus Absorbable Sutures for Sacrocolpopexy Vaginal Mesh Fixation. Urogynecology (Phila). 2024 Sep 1;30(9):733-735.
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