Anterior/Apical single incision mesh (Elevate™): Surgical experience, anatomical and functional results, and long-term complications.

Autor: Faioli R; Fondazione IRCCS Casa Sollievo della Sofferenza, Opera di San Pio da Pietrelcina, San Giovanni Rotondo, FG, Italy., Sozzi G; Department of Gynecologic Oncology, University of Palermo, Palermo, Italy. Electronic address: giuliosozzi@hotmail.it., Chiantera V; Department of Gynecologic Oncology, University of Palermo, Palermo, Italy., Maglione A; Fondazione IRCCS Casa Sollievo della Sofferenza, Opera di San Pio da Pietrelcina, San Giovanni Rotondo, FG, Italy., Capozzi VA; Department of Obstetrics and Gynecology, University of Parma, Parma, Italy., Gadonneix P; Department of Visceral and Gynecologic Surgery, Diaconesses Hospital, Paris, France., Salet-Lizée D; Department of Visceral and Gynecologic Surgery, Diaconesses Hospital, Paris, France., Vincens E; Department of Visceral and Gynecologic Surgery, Diaconesses Hospital, Paris, France., Meschia M; Department of Obstetrics and Gynecologic Surgery, G. Fornaroli Hospital, Magenta, MI, Italy., Villet R; Department of Visceral and Gynecologic Surgery, Diaconesses Hospital, Paris, France.
Jazyk: angličtina
Zdroj: European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2021 May; Vol. 260, pp. 166-170. Date of Electronic Publication: 2021 Mar 23.
DOI: 10.1016/j.ejogrb.2021.03.031
Abstrakt: Objective: Pelvic organ prolapse is a common condition among post-menopausal women, and surgery is often the standard treatment proposed. Native tissue vaginal surgery is burdened by a high rate of recurrence, and mesh vaginal surgery has become current practice. The purpose of this study was to evaluate the safety and the effectiveness of the vaginal kit Anterior/Apical single incision mesh Elevate™ for the correction of anterior and apical compartment prolapse.
Study Design: Data of patients with symptomatic anterior vaginal prolapse stage ≥ II, receiving mesh repair with the Anterior/Apical Elevate single incision system between January 2010 and January 2015 were retrieved. Prolapse was classified according to the POP-Q system. The main outcome measure was anatomical success, while subjective and safety outcomes were secondary outcomes.
Results: Anatomical success rate was 87.2 % for anterior compartment prolapse and 84.6 % for combined anterior and apical prolapse, while overall functional success rate was 96.2 % after a median follow-up of 33.6 months. The most frequent short-term complications were urinary bladder injury (3.0 %) and transient urinary retention (6.9 %). The most common long-term complications were de novo or persistent symptomatic stress urinary incontinence (10.8 %) and vaginal mesh extrusion (3.8 %).
Conclusion: Mesh vaginal surgery with Anterior/Apical single incision mesh Elevate™ is a well-tolerated procedure with a very high anatomical and functional success rate. Short and long-term complications rate seem to be acceptable, and in most of cases, solvable. Further studies are needed to confirm our promising data.
Competing Interests: Declaration of Competing Interest The authors report no declarations of interest.
(Copyright © 2021 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: