Abdominal Sacrohysteropexy using Proline mesh versus Mersilene tape in apical prolapse: A randomized clinical trial.

Autor: Elsibai Anter M; Faculty of Medicine, Menoufia University, Menoufia, Egypt. Electronic address: mohamedsibai681@yahoo.com., Elsayed Ellakwa H; Faculty of Medicine, Menoufia University, Menoufia, Egypt., Fouad Sanad Z; Faculty of Medicine, Menoufia University, Menoufia, Egypt., Abd-Elhameed Nasr-Eldin M; Faculty of Medicine, Menoufia University, Menoufia, Egypt., Ramzy Rashid M; Faculty of Medicine, Menoufia University, Menoufia, Egypt.
Jazyk: English; Spanish; Castilian
Zdroj: Actas urologicas espanolas [Actas Urol Esp (Engl Ed)] 2023 Jun; Vol. 47 (5), pp. 279-287. Date of Electronic Publication: 2023 Feb 05.
DOI: 10.1016/j.acuroe.2023.02.004
Abstrakt: Importance: uterine preservation is increasingly a common demand in surgical management of pelvic organ prolapse. Using Proline mesh in surgical repair of prolapse may have negative drawbacks.
Objective: compare between using Polyproline mesh and Mersilene tape in abdominal Sacrohysteropexy repairing apical prolapse stage ӀӀ or more.
Study Design: This RCT study was conducted at the Department of Obstetrics and Gynecology (Menoufia and Ain Shams university hospitals, Egypt). Eligible population included women planned Sacrohysteropexy for uterine prolapse ≥ stage 2 assigned to two groups: Mesh group (n = 38), underwent Sacrohysteropexy with polyproline mesh, and Tape group (n = 38), underwent Sacrohysteropexy using Mersilene tape.
Results: High statistically significant difference between TAPE group and MESH group concerning hysteropexy time was 50.4 min in TAPE group vs 90.6 min in MESH group (p < 0.001), need for post operative analgesia was14 in TAPE group vs 27 in MESH group (p < 0.005). The mean hospital stay was 2.8 days in TAPE group vs 5.2days in MESH group (p < 0.001).
Conclusions: Using Mersilene tape in Sacrohysteropexy is a safe alternative to Polyproline Mesh with comparable efficacy with less complications. Tape is easier as it needs less dissection area for sacral fixation so less injury incidence.
(Copyright © 2023. Published by Elsevier España, S.L.U.)
Databáze: MEDLINE
Externí odkaz: