Published in:
01-04-2006 | 2005 IUGA GRAFTS ROUNDTABLE
Cadaveric fascia lata
Author:
Pamela A. Moalli
Published in:
International Urogynecology Journal
|
Special Issue 1/2006
Login to get access
Excerpt
Cadaveric fascia harvested from tensor fascia lata was popularized in 1997 for use in pubovaginal sling procedures and sacrocolpopexies. Before this time, high density synthetic meshes and autologous fascial grafts had been used. Cadaveric fascia had been used for decades in orthopedic reconstructive surgeries, and its successes were widely reported in multiple case series [
1]. Cadaveric fascial grafts evolved, partly in response to the dissatisfaction of pelvic surgeons with the existing graft materials. Specifically, most synthetic materials had significant erosion rates up to 10% for most materials and higher for polytetrafluoroethylene [
2‐
5]. In addition, some of the meshes were not compatible with the material properties of the vagina resulting in a stiff rigid texture. Other complications associated with synthetic meshes included dyspareunia, infection, and in rare cases, the formation of sinus tracts and fistulas necessitating removal of the graft material [
6]. …