EARLY POSTOPERATIVE MESH-RELATED COMPLICATIONS AFTER PLACING TWO- AND FOUR-SLEEVED SYNTHETIC IMPLANTS IN WOMEN WITH GENITALS PROLAPSE
Main Article Content
Abstract
Objective – to study the frequency of mesh-related complications when using different forms of synthetic mesh implants and surgical approach in surgery on the pelvic floor in women.
Materials and Methods. We studied the frequency of early postoperative mesh-related complications in 233 postmenopausal women with cystocele II-III, to whom synthetic mesh implantswere placed. All patients were divided into three groups: Group A (94 women) included patients with a four-sleevedimplant placed through the longitudinal midline incision on the anterior vaginal wall; Group B (94 women) included patients with a four-sleevedimplant placed through the transverse incision on the cervix 1,5 cm from the cervical canal; Group C (45 women) included patients witha two-sleeved implant placed through the longitudinal midline incision on the anterior wall of the vagina.
Conclusions. The use of synthetic mesh implants with two sleeves for the correction of cystocele in women reduces the incidence of postoperative mesh-related complications. In severe prolapse, when the fixation of the implant with two sleeves may not be sufficient the synthetic mesh implants with four sleevesshould be placed through the transverse incision on anterior vaginal wallto reduce the incidence of postoperative mesh-related complications.Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
Wu JM, Matthews CA, Conover MM, Pate V, Jonsson FM. Life time risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet. Gynecol. 2014; 123 (6): 1201-1206
Morling JR, McAllister DA, Agur W, Fischbacher CM, Glazener CM, Guerrero K et al. Adverse events after first, single, mesh and non-mesh surgical procedures for stress urinary incontinence and pelvic organ prolapse in Scotland, 1997-2016: a population-based cohort study. Lancet. 2016; (20): 140-153
Zoorob D, Karram M, Stecher A, Maxwell R, Whiteside J. Analysis of Surgical Outcomes and Determinants of Litigation Among Women With Transvaginal Mesh Complications. Female Pelvic. Med. Reconstr. Surg. 2016; (6): 404-409
Glazener C, Breeman S, Elders A, Hemming C, Cooper K, Freeman R. et al. Clinical effectiveness and cost-effectiveness of surgical options for the management of anterior and/or posterior vaginal wall prolapse: two randomised controlled trials within a comprehensive cohort study – results from the PROSPECT Study. Health Technol. Assess. 2016; (95): 45-48
Bezhenar VF, Bogatyryova EV, Tsypurdeeva AA, Tsuladze LK, Rusina EI, Guseva ES. New approach to surgical correction of pelvic prolapsed with synthetic implants: methods of postoperative complications prevention. Obstetrics, Gynecology and Reproduction. 2012; 6 (2): 6-13. Russian (Беженар В.Ф., Богатырева Е.В., Цыпурдеева А.А., Цуладзе Л.К., Русина Е.И., Гусева Е.С. Новые возможности хирургической коррекции тазового пролапса с использованием синтетических имплантов: пути профилактики послеоперационых осложнений //Акушерство, гинекология и репродукция. 2012. Т. 6, № 2. С. 6-13.)
Gynecology. National Guideline. /ed. Kulakov VI, Manukhin IB, Savelieva GM. Moscow: GEOTAR-Media, 2007: 857-858. Russian (Гинекология. Национальное руководство. /под ред. В.И. Кулакова, И.Б. Манухина, Г.М. Савельевой. М: ГЭОТАР-Медиа, 2007. С. 857-858.)
Younger A, Rac G, Clemens JQ, Kobashi K, Khan A, Nitti V et al. Organ Prolapse Surgery in Academic Female Pelvic Medicine and Reconstructive Surgery Urology Practice in the Setting of the Food and Drug Administration Public Health Notifications. Urology. 2016; (91): 46-51
Karmakar D, Dwyer PL. Failure of Expectations in Vaginal Surgery: Lack of Appropriate Consent, Goals and Expectations of Surgery. Curr. Urol. Rep. 2016; (12): 87
Hamuro A, Tachibana D, Wang H, Hayashi M, Yanai S, Kurihara Y et al. Combined reconstructive surgery involving uterosacral colpopexy and anterior vaginal mesh implantation for pelvic organ prolapse. J. Obstet. Gynaecol. Res. 2016; (6): 707-715
Todros S, Pavan PG, Natali AN. Biomechanical properties of synthetic surgical meshes for pelvic prolapse repair. J. Mech. Behav. Biomed. Mater. 2015; (55): 271-285