Mesh-associated complications in the correction of pelvic organ prolapse and stress urinary incontinence

Erema, Veronika V.; Buyanova, S. N.; Mgeliashvili, M. V.; Petrakova, S. A.; Puchkova, N.V.; Yudina, N. V.; Glebov, T.A.

doi:10.17116/rosakush20212103174

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…На заре своего применения сетчатые импланты пользовались широкой популярностью у хирургов, так как частота рецидивов заметно снизилась, пациентки стали более удовлетворены хирургическим лечением. Но использование сетчатых полипропиленовых трансплантатов привело к так называемым имплант-ассоциированным осложнениям, к которым относятся боль, эрозия стенки влагалища (ЭСВ), деформация в области установки сетчатого протеза; данные осложнения стали составлять до 10 % от всех операций [5][6][7]. Все это заставило серьезно пересмотреть тактику лечения таких пациенток и частично вернуться к бессетчатой хирургии малого таза.…”

Section: клинический случайunclassified

Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case

Berg,

Musin,

Yаshchuk

et al. 2023

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. Pelvic organ prolapse is increasingly spreading around the world. Therefore, surgical interventions in this pathology are becoming more frequent. Non-mesh surgery for pelvic organ prolapse is reported to have a higher incidence of disease recurrence, and polypropylene mesh implants appear to cause implant-associated complications, thereby limiting their application in clinical practice. Materials and methods. When a patient with an apical prolapse and high risk of postoperative complications sought medical care in the Clinic, the specialists decided to perform promontofixation using a titanium mesh implant. Results and discussion. The present paper describes a clinical case of surgical treatment of genital prolapse using a titanium mesh implant. Since the patient who was admitted for surgical treatment had a family history of genital prolapse, an application of non-mesh technologies implied a high probability of genital prolapse recurrence, as well as a high risk of the vaginal erosion after surgery. Therefore, a promontofixation was performed using a titanium mesh implant, and the 6-month follow-up period showed no postoperative complications. Conclusion. Analysis of postoperative complications demonstrated a considerable potential of using titanium mesh implants for the prevention of implant-associated complications.

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Section: клинический случайunclassified

Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case

Berg,

Musin,

Yаshchuk

et al. 2023

Kreativnaâ hirurgiâ i onkologiâ

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Pelvic organ prolapse in young women

Buyanova,

Fedorina,

Petrakova

et al. 2023

Ross. vestn. akush.-ginekol.

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Application of anterior bilateral sacrospinous fixation in the treatment of apical genital prolapse

Popov,

Gadzhieva

2024

Akušerstvo, ginekologiâ i reprodukciâ

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Aim: to increase the clinical effectiveness and safety of apical prolapse treatment by applying anterior bilateral sacrospinous fixation (SSF) with a polypropylene mesh implant.Materials and Methods. A single-center open prospective comparative clinical study in parallel groups in parallel groups was carried out at the Clinic of Academician Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology. There were examined and treated 155 patients with stage II–IV symptomatic genital prolapse according to the Pelvic Organ Prolapse Quantification System (POP-Q) who underwent various variants of SSF. The patients were stratified into 3 groups: group 1 (LPSSF) – 34 patients with symptomatic apical genital prolapse who underwent SSF through the posterior vaginal wall using LPSSF ligatures (ligature posterior sacrospinous fixation); group 2 (LASSF) – 42 patients with symptomatic apical or anterior-apical genital prolapse, who underwent ligature SSF using the anterior approach LASSF (ligature anterior sacrospinous fixation); group 3 (MESH TASSF) – 79 patients with symptomatic apical or anterior-apical genital prolapse, who were treated by applying the anterior bilateral SSF method using synthetic tape MESH TASSF (tape anterior sacrospinous fixation). The frequency of intra- and postoperative complications, patient complaints, and relapse rates were assessed post-surgery. Functional outcomes were assessed using the PFDI-20 questionnaire (Pelvic Floor Distress Inventory-20) at 3, 6 and 12 months after treatment. Patients in group 3 were treated by applying a method we developed for correction of apical genital prolapse and concomitant cystocele reconstruction.Results. The method presented here was characterized by a lower blood volume loss compared to posterior SSF, minimized intra- and postoperative complications: decreased incidence of hematomas, buttock pain, rate of urinary disorders (stress incontinence, mixed forms of urinary incontinence, urgent urinary incontinence, urinary difficulty, bladder hypotension). Applying MESH TASSF fixation allowed to decrease duration of hospital treatment and alleviate pain severity in the postoperative period, and additionally contributed to improved patients' quality of life sustained for as long as 12 months post-surgery.Conclusion. The treatment results confirmed that the MESH bilateral SSF method using an anterior approach is clinically effective, relatively safe, and contributes to a markedly reduced rate of disease relapses. The presence of anterior-apical or apical genital prolapse (C or Ba+C prolapse, stages II–IV according to the POP-Q) should be considered as indications for performing anterior bilateral SSF.

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Mesh-associated complications in the correction of pelvic organ prolapse and stress urinary incontinence

Cited by 3 publications

References 19 publications

Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case

Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case

Pelvic organ prolapse in young women

Application of anterior bilateral sacrospinous fixation in the treatment of apical genital prolapse

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