Novel Hybrid Mesh Surgery Combines Sacrocolpopexy with Transvaginal Mesh Placement for Pelvic Organ Prolapse

Ichikawa, Masao; Akira, Shigeo; Mine, Katsuya; Ohuchi, Nozomi; Iwasaki, Nao; Kurose, Kouichi; Takeshita, Toshiyuki

doi:10.1272/jnms.78.379

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Recently, we reported a novel hybrid mesh surgical procedure that combines an abdominal sacrocolpopexy with TVM placement for POP to compensate for the mutual shortcomings referred to above 7 . We have now applied this concept to a less invasive surgical procedure via laparoscopy.…”

Section: Introductionmentioning

confidence: 99%

Novel hybrid laparoscopic sacrocolpopexy for pelvic organ prolapse with a severe paravaginal defect

Ichikawa

Akira

Mine

et al. 2012

J of Obstet and Gynaecol

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Abdominal sacrocolpopexy is the gold standard for treating pelvic organ prolapse (POP) because of safety and durable good results. More recently laparoscopic sacrocolpopexy (LSC), a less invasive approach, has become popular. Although these surgeries are versatile and can treat almost all patients with POP, these techniques have shortcomings. Specifically, reinforcement of lateral vaginal defects are not very strong, thus patients with POP and a severe paravaginal defect are not good candidates for abdominal or laparoscopic sacrocolpopexy. To overcome this problem, we developed a novel type of LSC, which can reinforce severe paravaginal defects by using a reversed T-shaped anterior mesh combining the advantage of transvaginal mesh surgery. We refer to this novel surgery as 'hybrid LSC'. Thus far, eight patients have successfully undergone this surgery. Hybrid LSC is a simple and secure method, and is an alternative treatment for POP with a severe paravaginal defect.

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Section: Introductionmentioning

confidence: 99%

Novel hybrid laparoscopic sacrocolpopexy for pelvic organ prolapse with a severe paravaginal defect

Ichikawa

Akira

Mine

et al. 2012

J of Obstet and Gynaecol

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“…In this respect, it is known that the Burch urethropexy has a very low complication rate [16], and in this paper, we present the short-and medium-term results of a unit policy directed at patients with POP of combined abdominal rectopexy and Burch retropubic urethropexy without the use of prosthetic mesh. Although no 'all-inone' procedure is ideal, the aim of this study was to assess this simple approach towards patients presenting with combined POP in order to define its safety profile and initial effectiveness as an alternative to other techniques including sacrocolpopexy, particularly where the use of mesh may be relatively contraindicated [17].…”

Section: Introductionmentioning

confidence: 99%

Combined Burch urethropexy and anterior rectopexy in pelvic organ prolapse: skip the mesh

Pironi

Pontone

Podzemny

et al. 2012

Langenbecks Arch Surg

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Novel Hybrid Mesh Surgery Combines Sacrocolpopexy with Transvaginal Mesh Placement for Pelvic Organ Prolapse

Cited by 2 publications

References 11 publications

Novel hybrid laparoscopic sacrocolpopexy for pelvic organ prolapse with a severe paravaginal defect

Novel hybrid laparoscopic sacrocolpopexy for pelvic organ prolapse with a severe paravaginal defect

Combined Burch urethropexy and anterior rectopexy in pelvic organ prolapse: skip the mesh

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