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The "Pelvic Harness": a skeletonized mesh implant for safe pelvic floor reconstruction.

Natalia S, Menahem N, Haim K, Dmitri P - Int Braz J Urol (2016 May-Jun)

Bottom Line: The POP-Q point's measurements showed marked and statistically significant improvements.The first and sixth post-operative month follow-up records as well as the study conclusion interview findings were satisfactory in terms of subjective and objective cure and adverse effects occurrence.This study data proposes that skeletonizing meshes might be safely and successfully implanted for potentially improved pelvic floor reconstruction.

View Article: PubMed Central - PubMed

Affiliation: European Medical Center, Moscow, Russia.

ABSTRACT

Objectives: To evaluate the feasibility, safety and surgical results of skeletonized mesh implants to form a pelvic harness for pelvic floor reconstruction surgery.

Study design: Patients with advanced pelvic floor prolapse were enrolled to this study. Study model was a kit mesh, reduced to 75% of the original surface area by cutting out mesh material from the central mesh body. Patients were evaluated at the end of the 1st and 6th post-operative months and interviewed at the study conclusion.

Results: Ninety-five women with advanced pelvic floor prolapse had this implant. Mean follow-up duration was 9 months (6-12 months). The POP-Q point's measurements showed marked and statistically significant improvements. Bladder over-activity symptoms, fecal incontinence, pelvic pain and constipation rates were all reduced as well. No adverse effects related to the dissection or mesh implantation were marked. The first and sixth post-operative month follow-up records as well as the study conclusion interview findings were satisfactory in terms of subjective and objective cure and adverse effects occurrence.

Conclusion: This study data proposes that skeletonizing meshes might be safely and successfully implanted for potentially improved pelvic floor reconstruction.

No MeSH data available.


Related in: MedlinePlus

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Mentions: Of the 100 women enrolled in this study, 5 refused participation after having a thorough informed consent presentation, while 95 (95.0%) accepted participation and underwent surgery using the skeletonized non-absorbable mesh implants from January 2012 through March 2013 (Figure-2). The mean age was 64.5±9.0 year (range 43-83); all patients had advanced anterior or posterior wall prolapse, and all were admitted for corrective surgery with the skeletonized mesh implants. The mean follow-up duration was 9.5±3.8 months (6-12 months). Patient’s characteristics are shown in Table-1. Only 17 women (17.9%) had previous POP surgery and 16 (16.84%) had previous hysterectomy. All patients had anterior mesh, 46 women (48.4%) had also posterior pelvic floor reconstruction (21 with mesh implants) and 33 (34.7%) had a concomitant anti-incontinence procedure.


The "Pelvic Harness": a skeletonized mesh implant for safe pelvic floor reconstruction.

Natalia S, Menahem N, Haim K, Dmitri P - Int Braz J Urol (2016 May-Jun)

Patient flow-chart
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4920568&req=5

f02: Patient flow-chart
Mentions: Of the 100 women enrolled in this study, 5 refused participation after having a thorough informed consent presentation, while 95 (95.0%) accepted participation and underwent surgery using the skeletonized non-absorbable mesh implants from January 2012 through March 2013 (Figure-2). The mean age was 64.5±9.0 year (range 43-83); all patients had advanced anterior or posterior wall prolapse, and all were admitted for corrective surgery with the skeletonized mesh implants. The mean follow-up duration was 9.5±3.8 months (6-12 months). Patient’s characteristics are shown in Table-1. Only 17 women (17.9%) had previous POP surgery and 16 (16.84%) had previous hysterectomy. All patients had anterior mesh, 46 women (48.4%) had also posterior pelvic floor reconstruction (21 with mesh implants) and 33 (34.7%) had a concomitant anti-incontinence procedure.

Bottom Line: The POP-Q point's measurements showed marked and statistically significant improvements.The first and sixth post-operative month follow-up records as well as the study conclusion interview findings were satisfactory in terms of subjective and objective cure and adverse effects occurrence.This study data proposes that skeletonizing meshes might be safely and successfully implanted for potentially improved pelvic floor reconstruction.

View Article: PubMed Central - PubMed

Affiliation: European Medical Center, Moscow, Russia.

ABSTRACT

Objectives: To evaluate the feasibility, safety and surgical results of skeletonized mesh implants to form a pelvic harness for pelvic floor reconstruction surgery.

Study design: Patients with advanced pelvic floor prolapse were enrolled to this study. Study model was a kit mesh, reduced to 75% of the original surface area by cutting out mesh material from the central mesh body. Patients were evaluated at the end of the 1st and 6th post-operative months and interviewed at the study conclusion.

Results: Ninety-five women with advanced pelvic floor prolapse had this implant. Mean follow-up duration was 9 months (6-12 months). The POP-Q point's measurements showed marked and statistically significant improvements. Bladder over-activity symptoms, fecal incontinence, pelvic pain and constipation rates were all reduced as well. No adverse effects related to the dissection or mesh implantation were marked. The first and sixth post-operative month follow-up records as well as the study conclusion interview findings were satisfactory in terms of subjective and objective cure and adverse effects occurrence.

Conclusion: This study data proposes that skeletonizing meshes might be safely and successfully implanted for potentially improved pelvic floor reconstruction.

No MeSH data available.


Related in: MedlinePlus