Augmented repairs and use of interposition grafts in pelvic reconstructive surgery: Part II

Abstract

Part I of this review on graft interposition for pelvic organ prolapse focused on the properties of biologic and synthetic materials used in vaginal reconstructive surgery and on the widespread use of these materials in the treatment of anterior vaginal wall prolapse. Part II focuses on prosthetic reinforcement during reconstructive surgical procedures involving the middle compartment (vaginal vault and apex) and posterior compartment (rectocele). The new “minimally invasive” kits directed at total pelvic floor reconstruction are discussed in this context. We conclude with a review of the unique complications associated with graft interposition and their management, as well as a discussion of areas to direct future research with the intent of promoting a greater understanding of the role and use of prosthetic grafts during pelvic reconstructive surgical procedures.