Previous studies suggest that larger sutures increase the risk of complications after prolapse surgery.
This study aimed to assess whether multifilament sutures increased complications compared with monofilament sutures. A series of 100 women with 2/0 multifilament suture were matched by operation to a previous cohort when a size 2/0 monofilament suture was used. Offensive vaginal discharge was more common in the multifilament than in the monofilament group (24% vs. 12%; p = 0.04). However, there was no increased requirement to seek advice from a health professional (33% vs. 25%; p = 0.27) or to require antibiotics. Vaginal bleeding (10% vs. 5%; p = 0.28) and urinary infection (2% vs. 5%; p = 0.44) were statistically no more common in the multifilament 2/0 compared with the monofilament 2/0 group. Multifilament sutures used for closure of the vaginal skin are associated with a clinically non-significant higher incidence of vaginal discharge in the early post-operative period.
Mizon G, Duckett J. Are you the author?
Department of Obstetrics and Gynaecology, Medway NHS Foundation Trust, Kent, UK.
Reference: J Obstet Gynaecol. 2015 Jan 6:1-3.