The use of synthetic mesh in vaginal prolapse surgery: a survey of Dutch urogynaecologists

Lensen, E.J.M.; Withagen, Mariëlla I. J.; Stoutjesdijk, Jackie A.; Kluivers, K.B.; Vierhout, Mark E.

doi:10.1016/j.ejogrb.2012.02.004

Cited by 7 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unlike other questionnaire studies [ 5 , 8 ], this study details the intraoperative techniques used by surgeons for the insertion of graft/mesh. There is a lack of evidence to confirm whether the technique for graft/mesh insertion affects surgical outcome.…”

Section: Discussionmentioning

confidence: 99%

“…Over the last 10 years, questionnaire-based studies have shown that the surgical techniques used to perform native tissue POP repairs and the types of graft/mesh for augmented POP repairs vary between surgeons [ 5 – 8 ]. However, the intraoperative techniques used for the insertion of graft/mesh and whether variations in techniques have any impact on the outcome of the surgery are currently unknown.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A UK questionnaire survey of current techniques used to perform pelvic organ prolapse repair

et al. 2017

View full text Add to dashboard Cite

Introduction and hypothesisEvidence-based medicine should result in better standardisation of practice. This study aims to evaluate whether there remains variation in surgical techniques in native tissue and graft/mesh repairs of pelvic organ prolapse (POP) in UK practice.MethodsA questionnaire survey was conducted to describe current surgical techniques for native tissue and graft/mesh POP repairs performed by a cohort of UK surgeons recruiting to a large multicentre prolapse trial (PROSPECT).ResultsThe questionnaire return rate was 90% (n = 56 out of 62). Substantial variations in surgical techniques were seen at every step of the procedure. Native tissue repair: most surgeons used infiltration, 95% (n = 53 out of 56), but the volume used varied (10–80 ml). All but one surgeon performed a midline incision; this surgeon performed an elliptical incision. The depth of tissue dissection varied, being both above and below the vaginal muscularis (fascia). Fascial repair methods included midline, closure of separate fascial defects, paravaginal repair and rectal/levator plication. Graft/mesh repairs: many different products and manufacturers were used. There was variation in the method of attachment of graft/mesh inserts and their placement in relation to the fascia. For both native tissue and graft/mesh repairs, the method of fascial dissection, suturing methods and suture material varied. Most surgeons inserted a pack, 91% (n = 50 out of 55), soaked in varying substances before use.ConclusionsThere is considerable variation between UK-based surgeons in the surgical techniques used to perform both native tissue and graft/mesh-augmented POP repairs. Further research is required to determine whether these differences influence outcome.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A UK questionnaire survey of current techniques used to perform pelvic organ prolapse repair

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In the Netherlands several incidents with meshes have been reported. 39 Such incidents show that there is a problem with the current regulation of medical devices. Serious shortcomings of the current system have also been highlighted by the British Medical Journal (BMJ) 40 : The BMJ and the Daily Telegraph reported how a non-existing hip implant has been successfully placed on the European market in the framework of the current legislation.…”

Section: Problems With the Current Legal Frameworkmentioning

confidence: 99%

What is the Best Way to Supervise the Quality of Medical Devices? Searching for a Balance Between ex-ante and ex-post Regulation

Singh¹

2013

Eur. j. risk regul.

View full text Add to dashboard Cite

This article discusses the legal remedies available for Competent Authorities, patients and healthcare professionals to prevent harmful incidents involving medical devices. It outlines a theoretical framework for ex-ante and ex-post regulation of medical devices. It then focuses on certain aspects of ex-post regulation. Participation by Competent Authorities with a supervisory role, healthcare professionals and patients in ex-post regulatory legal processes is analysed in the light of the current European Union legal framework and the revised framework proposed by the European Commission. It also discusses whether the proposed new legal framework enables the Competent Authorities, patients and healthcare professionals to prevent the harm caused by unsafe medical devices. Ex-ante regulation might prevent the entrance on the market of unsafe devices whereas ex-post regulation might dismiss the unsafe devices. The contribution concludes by suggesting a number of improvements to the supervisory system of medical devices in Europe.

show abstract

Comparison of two trocar-guided trans-vaginal mesh systems for repair of pelvic organ prolapse: a retrospective cohort study

et al. 2013

View full text Add to dashboard Cite

show abstract

The use of synthetic mesh in vaginal prolapse surgery: a survey of Dutch urogynaecologists

Cited by 7 publications

References 21 publications

A UK questionnaire survey of current techniques used to perform pelvic organ prolapse repair

A UK questionnaire survey of current techniques used to perform pelvic organ prolapse repair

What is the Best Way to Supervise the Quality of Medical Devices? Searching for a Balance Between ex-ante and ex-post Regulation

Comparison of two trocar-guided trans-vaginal mesh systems for repair of pelvic organ prolapse: a retrospective cohort study

Contact Info

Product

Resources

About