MESH-RELATED COMPLICATIONS AFTER IMPLANTATION OF SYNTHETIC MESHES USING TROCAR AND ANCHORING SYSTEMS

TARABANOVA, O. V. and MELKONIANTS, T. G. and ORDOKOVA, A. A. and SOKOLOVA, E. I. and KRAVTSOVA, N. A. and KRAVTSOV, I. I. and EFIMENKO, A. V. (2018) MESH-RELATED COMPLICATIONS AFTER IMPLANTATION OF SYNTHETIC MESHES USING TROCAR AND ANCHORING SYSTEMS. Kubanskij nauchnyj medicinskij vestnik, 25 (1). pp. 34-39. ISSN 1608-6228

[thumbnail of 1002-1379-1-SM.pdf] Text
1002-1379-1-SM.pdf - Published Version

Download (296kB)

Abstract

Aim. To reduce incidence of mesh-related complications by comparative analysis of the results of vaginal extraperitoneal mesh-vaginopexy with use of trocar and anchoring systems.

Materials and methods. A retrospective analysis of outpatient and hospital charts of 160 patients was performed, who underwent operative treatment of genital prolapse by vaginal extraperitoneal vaginopexy with Prolift, Johnson & Johnson, USA, Pelvix (Lintex, RF), Elevate (AMS, USA) and the Calistar system (Promedon, Argentina). The duration of postoperative follow-up was 3 years. In the 1st group, the patients were operated on using trocar techniques (Prolift, Pelvix). The second group consisted of patients operated on with the use of anchor technologies using the Elevate and Calistar methods. The degree of prolapse of the genitals was determined by the POP-Q system. The index of the influence of genital prolapse on the quality of life (IVQV) was assessed using a validated PD-QL questionnaire. To verify the accuracy of the hypothesis, Chi-square was used. Differences were considered valid for p<0,05.

Results. In group 1, the mean time of surgery was 98±26 min. The frequency of erosions of the vaginal mucosa was 10,9%, in 4,1% of cases, a partial excision of the implant was carried out. In 1,4% there was a wrinkling of the implant, accompanied by a pain relief syndrome, in connection with which the implant was partially excised. Chronic pelvic pain was noted in 11,3% of patients. Dyspareunia de novo was noted in 11,0% of patients. Infection of the implant was observed in 2,7%, the implant was removed. Implant protrusion into the bladder occurred in 1 patient, the implant was partially excised. The frequency of recurrence of prolapse of the genitals was 10,4%. In group 2, the mean time of surgery was 79±32 min. The frequency of erosions of the vaginal mucosa was 3.1%, in 1 case, partial excision of the implant was required. Dyspareunia de novo was noted in 6,1% of patients, in 1 of them the implant was partially excised. Chronic pelvic pain was noted in 3,1% of patients − the pain syndrome was treated conservatively. The frequency of recurrence of genital prolapse in the 2nd group was 9,8%.

Conclusion. Surgical treatment of genital prolapse with the use of synthetic meshes is highly effective, with both trocar and anchoring systems in use. It is advisable to give preference to anchor technologies, given the lower frequency of meshrelated complications.

Item Type: Article
Subjects: Open Archive Press > Medical Science
Depositing User: Unnamed user with email support@openarchivepress.com
Date Deposited: 09 Mar 2023 09:05
Last Modified: 08 Mar 2024 04:43
URI: http://library.2pressrelease.co.in/id/eprint/669

Actions (login required)

View Item
View Item