Publications by authors named "Barbara Henley"
Article Synopsis
- The study aimed to evaluate long-term complications related to mesh after total hysterectomy and sacrocolpopexy, focusing on risks like mesh exposure and surgical success over time.
- It involved a follow-up of 82 women from an earlier trial, with a mean follow-up of 5.3 years, revealing a 9.9% incidence of mesh or suture exposure and a high surgical success rate of 95%.
- While the risk of mesh exposure increased over time, no serious complications were found, indicating that surgery remains effective with manageable side effects.
Long-Term Pain After Minimally Invasive Total Hysterectomy and Sacrocolpopexy.
Urogynecology (Phila)
February 2023
Importance: There are limited long-term data on patient-reported pain after surgical treatment of uterovaginal prolapse.
Objective: This study aimed to evaluate pain in women undergoing minimally invasive total hysterectomy and sacrocolpopexy with a lightweight polypropylene Y-mesh (Upsylon) >2 years after surgery.
Study Design: This is a planned secondary analysis of a 5-site randomized trial comparing permanent versus absorbable suture for vaginal attachment of a lightweight polypropylene Y-mesh during total laparoscopic hysterectomy and sacrocolpopexy in women with stage ≥2 uterovaginal prolapse.
Introduction And Hypothesis: The objective was to evaluate total and incident mesh exposure rates at least 2 years after minimally invasive total hysterectomy and sacrocolpopexy. Secondary aims were to evaluate surgical success and late adverse events.
Methods: This extension study included women previously enrolled in the multicenter randomized trial of permanent vs delayed-absorbable suture with lightweight mesh for > stage II uterovaginal prolapse.
Objective(s): To compare the safety and effectiveness of dermal bovine transvaginal graft, Xenform, to native tissue in the surgical treatment of anterior and/or apical pelvic organ prolapse. This study was designed in conjunction with Food and Drug Administration requirements.
Methods: This was a prospective, non-randomized, parallel cohort, multi-center trial.
Objective: To compare mesh and permanent suture exposure rates in the first year after minimally invasive total hysterectomy and sacrocolpopexy with a light-weight polypropylene mesh using permanent or delayed absorbable sutures.
Methods: Across five centers in the United States, women were randomized to permanent or delayed absorbable suture for vaginal attachment of a Y-mesh during hysterectomy and sacrocolpopexy for stage II prolapse and worse. The primary outcome was mesh or permanent suture exposure in the first year after surgery.