Vicryl mesh in pelvic floor reconstruction
H. J. Buchsbaum, W. Christopherson, S. Lifshitz and S. Bernstein
A new synthetic absorbable mesh made of polyglactin 910 (Vicryl) fiber was
used to reconstruct the pelvic floor in seven women undergoing pelvic
exenteration. The technique is described. The follow-up ranged from three
to 31 months and no patient developed a bowel problem. The material seems
to be appropriate for this use, is completely absorbed, and acts as a
latticework for the deposition of granulation tissue. The technique can be
applied in patients requiring pelvic irradiation following surgery for
malignant neoplasms of the gastrointestinal or genitourinary tracts. The
small bowel is effectively held out of the pelvis and the radiation field,
and is spared the effects of the radiation beam.
