Surgery for Apical Vaginal Prolapse after Hysterectomy Transvaginal Mesh-Based Repair

被引:3
作者
Wallace, Shannon L. [1 ]
Syan, Raveen [2 ]
Sokol, Eric R. [3 ,4 ]
机构
[1] Stanford Univ, Sch Med, Dept Obstet & Gynecol, Div Urogynecol & Pelv Reconstruct Surg, 300 Pasteur Dr,Grant S287, Stanford, CA 94305 USA
[2] Stanford Univ, Sch Med, Dept Urol, 300 Pasteur Dr,Grant S287, Stanford, CA 94305 USA
[3] Stanford Univ, Sch Med, Dept Obstet & Gynecol, Div Urogynecol & Pelv Reconstruct Surg, 300 Pasteur Dr,Room G304a, Stanford, CA 94305 USA
[4] Stanford Univ, Sch Med, Dept Urol, 300 Pasteur Dr,Room G304a, Stanford, CA 94305 USA
基金
美国国家卫生研究院;
关键词
Transvaginal mesh; Apical prolapse; Outcomes; Vaginal vault prolapse; Prolapse repair; NATIVE TISSUE-REPAIR; TROCAR-GUIDED MESH; POLYPROPYLENE MESHES; RECURRENT PROLAPSE; SYNTHETIC MESH; VAULT PROLAPSE; GRAFT; OUTCOMES; SUSPENSION; DEFECTS;
D O I
10.1016/j.ucl.2018.08.005
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Several transvaginal mesh products have been marketed to address vaginal vault prolapse. Although data are limited, prolapse recurrence rates and subjective outcome measures seem to be equivalent for vaginal mesh compared with native tissue apical prolapse repair, and the different vaginal meshes have not proven superior to one another. Given the known unique complications specific to vaginal mesh with equivalent outcomes for the apical vaginal prolapse, it is reasonable to reserve mesh use for specific high-risk cases, such as patients with large apical prolapse recurrence after native tissue repair who are not candidates for sacrocolpopexy.
引用
收藏
页码:103 / +
页数:10
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