POSTERIOR VAGINAL WALL REPAIR WITH SYNTHETIC ABSORBABLE MESH - A NEW TECHNIQUE FOR AN OLD PROCEDURE

The objective of this study was to assess the applicability of posteri or wall repair with a synthetic absorbable mesh. Between January and S eptember 1996, five posterior repairs using absorbable synthetic meshe s were performed. Five posterior wall repairs in patients matched for age, parity, and rectocele degree were performed according to usual pr ocedures during the same period, and were used as controls. No febrile morbidity, cuff or posterior vaginal wall infections, thrombophlebiti s, rectal injury, or hemorrhagic complications were observed in the 10 women who entered the study. In summary, posterior wall repair can be easily performed with an absorbable soft tissue patch, theoretically preserving sexual activity, and probably offers better functional resu lts with longer experience, thus providing a safe and useful procedure in sexually active women.