Rate of re-interventions after transvaginal pelvic organ prolapse repair using partially absorbable mesh: 20 months median follow-up outcomes

被引:4
作者
Quemener, Julie [1 ]
Joutel, Nicolas [1 ]
Lucot, Jean-Philippe [1 ]
Giraudet, Geraldine [1 ]
Collinet, Pierre [1 ]
Rubod, Chrystele [1 ]
Cosson, Michel [1 ]
机构
[1] Ctr Hosp Reg Univ Lille, Hop Jeanne de Flandres, Dept Gynaecol Surg, F-59037 Lille, France
关键词
Complications; Pelvic organ prolapse; Partially absorbable mesh; Re-intervention; Vaginal surgery; VAGINAL WALL PROLAPSE; POLYPROPYLENE MESH; SURGERY; CLASSIFICATION; COMPLICATIONS; MANAGEMENT; EXPOSURE; EFFICACY; GRAFTS; SAFETY;
D O I
10.1016/j.ejogrb.2013.12.031
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To report our experience regarding the use of partially absorbable mesh, evaluating the nature and rate of re-intervention after transvaginal pelvic organ prolapse repair. Materials and methods: We retrospectively collected data on 269 consecutive patients who underwent partially absorbable mesh repair between January 2009 and January 2011. Data were obtained from our hospital medical records and we phoned patients to check if they had surgery in another hospital since then. Results: 250 patients were included, with a median follow-up duration of 20 months (range 8-34 months). The global rate of re-interventions was 8%. The main indications were mesh exposure (2%), prolapse recurrence (1.2%), and urinary complications such as de novo stress urinary incontinence (4.8%). Afterwards, we compared these data with those previously obtained in our centre with non-absorbable mesh. Conclusion: Our study shows that the use of a partially absorbable mesh is efficient and reliable with relatively low rates of re-intervention. According to the available literature data, a partially absorbable mesh does not seem to give advantages in comparison with classic non-absorbable mesh regarding rates of re-intervention. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:194 / 198
页数:5
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