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The use of synthetic mesh implants in surgical treatment of pelvic organ prolapse


Authors: M. Pastorčáková;  M. Huser;  A. I. Belkov;  P. Ventruba
Authors‘ workplace: Gynekologicko-porodnická klinika MU a FN, Brno, přednosta prof. MUDr. P. Ventruba, DrSc., MBA
Published in: Ceska Gynekol 2014; 79(2): 140-146

Overview

Introduction:
Pelvic organ prolapse (POP) surgical treatment went through major changes thanks to availability and wider expansion of mesh implants (MI). This work is focused on critical analysis of outcomes of these surgical procedures and recom-mendation prescription for their uses in aplication pelvic surgery.

Methods:
There was made analysis of published outcomes and experience with MI use in POP surgical treatment. Outcomes were analysed separately for each pelvic bottom section. Main criteria were surgical complications and treatment effectivity based on objective measurable parameters and subjective patient‘s avaluation.

Outcomes:
There are formalized suitable indications and conditions for individual pelvic bottom sections for safe MI use in reconstructive POP surgery. On the basis of objective data authors also define specific situations when MI use doesn‘t bring any benefit and it is not recommended.

Conclusion:
Mesh implants have their definite place in POP surgical treatment. Implants with right indication and right surgical technique in comparison with classic surgical procedures have significantly lower recurrence risk with comparable or higher surgical complication rate.

Keywords:
pelvic organ prolapse, surgery, mesh implants, risk factors, recurrence, failure, complications


Sources

1. Al-Nazer, MA., Gomaa, IA., Ismail, WA., El-Etriby, MA. Anterior colporrhaphy versus repair with mesh for anterior vaginal wall prolapse: a comparative clinical study. Arch Gynecol Obstet, 2012, 286(4), p. 965–972.

2. Ali, S., Han, HC., Lee, LC. A prospective randomized trial using Gynemesh PS (trademark) for the repair of anterior vaginal wall prolapse. Int Urogynecol J Pelvic Floor Dysfunct, 2006, 17(Suppl 2), p. 221.

3. Amid, PK. Classification of biomaterials and their related complication in abdominal wall hernia surgery. Hernia, 1997, 1, p. 15–21.

4. Araco, F., Gravante, G., Sorge, R., et al. The influence of BMI, smoking and age on vaginal erosions after synthetic mesh repair for pelvic organ prolapses. A multicenter study. Acta Obstet Gynecol, 2009, 88, p. 772–780.

5. Bai, SW., Choe, BH., Kim, JY., Park, KH. Pelvic organ prolapse and connective tissue abnormalities in Korean women.J Reprod Med, 2002, 47(3), p. 231–234.

6. Boyles, SH., McCrery, R. Dyspareunia and mesh erosion after vaginal mesh placement with a kit procedure. Obstet Gynecol, 2008, 111, p. 969–975.

7. Chen, CC., Collins, SA., Rodgers, AK., et al. Perioperative complications in obese women vs. normal-weight women who undergo vaginal surgery. Am J Obstet Gynecol, 2007, 197(1), p. 98.

8. Collinet, P., Belot, F., Debodinance, P., et al. Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J, 2006, 17, p. 315–320.

9. Duarte Lopes, E., De Barros Moriera Lemos, N., da Silva, CS., et al. Transvaginal polypropylene mesh vs. sacrospinous fixation for the treatment of uterine prolapse: 1-year follow-up of a randomized controlled trial. Int Urogynecol J, 2010, 21, p. 389–394.

10. Dwyer, PL., O’Reilly, BA. Transvaginal repair of anterior and posterior compartment prolapse Atrium polypropylene mesh. BJOG, 2004, 111, p. 831–836.

11. El Haddad, R., Švabík, K., Mašata, J., et al. Women‘s quality of life and sexual function after transvaginal anterior repair with mesh insertion. Eur J Obstet Gynecol Reprod Biol, 2013, 167(1), p. 110–113.

12. El Haddad, R., Martan, A., Masata, J., et al. Dlouhodobé léčebné výsledky vysoké zadní plastiky s plikací levátorů s použitím síťky Vypro II. Čes Gynek, 2009, 74(4), s. 282–285.

13. Ganj, FA., Ibeanu, OA., Bedestani, A., et al. Complications of transvaginal monofilament polypropylene mesh in pelvic organ prolapse repair. Int Urogynecol J, 2009, 20(8), p. 919–925.

14. Ghandi, S., Goldberg, RP., Kwon, C., et al. A prospective, randomized trial using solvent dehydrated fascia lata for the prevention of recurrent anterior vaginal wall prolapse. Am J Obstet Gynecol, 2005, 192, p. 1649–1654.

15. Guerette, NL., Peterson, TV., Aguirre, OA., et al. Anterior repair with or without collagen matrix reinforcement: a randomized controlled trial. Obstet Gynecol, 2009, 114(1), p. 59– 65.

16. Halaška, M., Šottner, O., Maxová, K. Alogenní prolenové implantáty ve srovnání se sakrospinální fixací v léčbě prolapsu; randomizovaná multicentrická prospektivní srovnávací studie. Čes Gynek, 2010, 75(2), s. 126–132.

17. Jia, X., Glazener, C., Mowatt, G., et al. Efficacy and safety of using mesh or grafts in surgery for anterior and/or posterior vaginal wall prolapse: systemic review and metanalysis. Br J Obstet Gynaecol, 2008, 115, p. 1350.

18. Karp, DR., Peterson, TV., Mahdy, A., et al. Biologic grafts of cystocele repair: does concomitant midline fascial plication improves surgical outcomes? Int Urogynecol J, 2011, 22(8), p. 985–990.

19. Líbalová, Z., Burdová, M., Čepický, P. Doporučený postup vaginální estrogenní terapie. Čes Gynek, 2008, 73(1), s. 62–63.

20. Lim, JL. , Carey, MP., Higgs, PJ., et al. Vaginal colporrhaphy versus vaginal repair with mesh for pelvic organ prolapse: a randomised controlled trial. Int Urogynecol J Pelvic Floor Dysfunct, 2007, 18(1), p. 38–39.

21. Maher, C., Feiner, B., Baessler, K., Schmidt, C. Surgical mana-gement of pelvic organ prolapse in women. Cochrane Database of Syst Rev, 2013, 4.

22. Martan, A., Švabík, K., Mašata, J. Vztah stresové inkontinence moči či urgence k defektu předního kompartmentu před jeho operačním řešením a po něm. Čes Gynek, 2010, 75(2), s. 118–125.

23. Miedel, A., Tegerstedt, G., Maehle-Schmidt, M. Nonobstetric risk factors for symptomatic pelvic organ prolapse. Obstet Gynecol, 2009, 113(5), p. 1089–1097.

24. Norton, PA., Baker, JE., Sharp, HC., et al. Genitourinary prolapse and joint hypermobility in women. Obstet Gynecol, 1995, 85(2), p. 225–228.

25. Peterson, TV., Karp, DR., Aguilar, VC., Davila, GW. Primary versus recurrent prolapse surgery: differences in outcomes. Int Urogynecol J, 2010, 21, p. 483–488.

26. Pilka, R., Kudela, M., Hejtmánek, P., et al. Sakrospinální fixace prolabovaného poševního pahýlu po hysterektomii sec. Miyazaki – dlouhodobé výsledky. Čes Gynek, 2013, 78(1), s. 27–31.

27. Rortveit, G., Brown, JS., Thom, DH., et al. Symptomatic pelvic organ prolapse: prevalence and risk factors in a population-based, racially diverse cohort. Obstet Gynecol, 2007, 109(6), p. 1396–1403.

28. Sand, PK., Koduri, S., Lobel, RW., et al. Prospective randomized trial of polyglactin 910 mesh to prevent recurrence of cystoceles and rectoceles. Am J Obstet Gynecol, 2001, 184, p. 1357–1362.

29. Shah, AD., Kohli, N., Rajan, SS., Hoyte, L. The age, distribution, rate, and types of surgery for pelvic organ prolapse in the USA have been described. Int Urogynecol J, 2008, 19, p. 421–428.

30. Stav, K., Dwyer, PL., Rosamilia, A., et al. Risk factors of treatment failure of midurethral sling procedures for women with urinary stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct, 2010, 21(2), p. 149–155.

31. Sung, VW., Rogers, RG., Schaffer, JL., et al. Graft use in transvaginal pelvic organ prolapse repair: a systematic review. Obstet Gynecol, 2008, 112, p. 1131–1142.

32. Švabík, K., Martan, A., Mašata J. Změny délky implantované síťky po rekonstrukčním výkonu přední stěny poševní. Čes Gynek, 2010, 75(2), s. 132–135.

33. US Food and Drug Administration. FDA safety communication: update on serious complications associated with transvaginal placement of surgical mesh for pelvic organ prolapse. July 13, 2011.

34. Withagen, MI., Milani, AL., den Boon, J., et al. Trocar-guided mesh compared with conventional vaginal repair in recurrent prolapse: a randomized controlled trial. Obstet Gynecol, 2011, 117, p. 242–250.

35. Withagen, MI., Vierhout, ME., et al. Risk factors for exposure, pain, and dyspareunia after tension-free vaginal mesh procedure. Obstet Gynecol, 2011, 118, p. 629–636.

36. Woodman, PJ., Swift, SE., O´Boyle, AL., et al. Prevalence of severe pelvic organ prolapse in relation to job description and socioeconomic status: a multicenter cross-sectional study. Int Urogynecol J, 2006, 17(4), p. 340–345.

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