caa a22 4500 445310006 CHVBK 20180317142626.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s00404-010-1715-7 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1715-7 Does local injection with lidocaine plus epinephrine prior to vaginal reconstructive surgery with synthetic mesh affect exposure rates? A retrospective comparison [Elektronische Daten] [Peter Finamore, Krystal Hunter, Howard Goldstein, Babak Vakili, Adam Holzberg] Does local injection with lidocaine plus epinephrine prior to vaginal reconstructive surgery with synthetic mesh affect exposure rates? A retrospective comparison. Purpose: To determine if local injection, prior to incision with lidocaine plus epinephrine (L+E) influences the rate of mesh exposure in the early postoperative period following synthetic mesh augmented vaginal reconstructive surgery (MAVR). Methods: We performed a chart review over an 18-month period of patients who underwent MAVR. The presence of mesh exposure at the 3-month postoperative visit, demographic data and whether or not L+E was used to hydrodissect was recorded. Statistical analysis was performed to determine whether hydrodissection influenced erosion rates. Results: A total of 143 meshes were placed, hydrodissection with L+E was used in 78 cases and was not in the remaining 65 cases. There were 10 (7.0% 10/143) total erosions at the 3-month postoperative visit, 6 (7.7%; 6/78) in the group that got L+E and 4 (6.2%; 4/65) in the group that did not get local injection. This difference was not significant (p=0.740, OR 1.54 95% CI 0.41-5.76). There was no difference between the two groups in terms of age, presence of diabetes, concurrent incontinence repair or estimated blood loss. Conclusion: Mesh exposure is a known complication of MAVR. Our study suggests that local injection with L+E prior to vaginal surgery does not influence exposure rates. Springer-Verlag, 2010 Mesh augmented vaginal reconstruction nationallicence Mesh exposure nationallicence Hydrodissection nationallicence Finamore Peter Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics/Gynecology, Winthrop University Hospital, 259 First Street, 11501, Mineola, NY, USA aut Hunter Krystal Biostatistics Group, Cooper University Hospital UMDNJ-RWJMS, Camden, NJ, USA aut Goldstein Howard Christiana Health Care System, Center for Urogynecology and Pelvic Surgery, Newark, DE, USA aut Vakili Babak Christiana Health Care System, Center for Urogynecology and Pelvic Surgery, Newark, DE, USA aut Holzberg Adam Division of Female Pelvic Medicine and Reconstructive Surgery, Cooper University Hospital, Camden, NJ, USA aut Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 659-662 0932-0067 284:3<659 2011 284 404 https://doi.org/10.1007/s00404-010-1715-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1715-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Finamore Peter Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics/Gynecology, Winthrop University Hospital, 259 First Street, 11501, Mineola, NY, USA aut NATIONALLICENCE 700 1- Hunter Krystal Biostatistics Group, Cooper University Hospital UMDNJ-RWJMS, Camden, NJ, USA aut NATIONALLICENCE 700 1- Goldstein Howard Christiana Health Care System, Center for Urogynecology and Pelvic Surgery, Newark, DE, USA aut NATIONALLICENCE 700 1- Vakili Babak Christiana Health Care System, Center for Urogynecology and Pelvic Surgery, Newark, DE, USA aut NATIONALLICENCE 700 1- Holzberg Adam Division of Female Pelvic Medicine and Reconstructive Surgery, Cooper University Hospital, Camden, NJ, USA aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 659-662 0932-0067 284:3<659 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer