Precision in Practice: The Critical Role of Mesh and Procedure Type Specification in Urogynecological Surgeries and Research.

Autor: Rotem R; Department of Urogynaecology, Cork University Maternity Hospital, Wilton Road, Wilton, Cork, Ireland.; Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, affiliated with the Hebrew University School of Medicine, Jerusalem, Israel., Galvin D; Department of Urogynaecology, Cork University Maternity Hospital, Wilton Road, Wilton, Cork, Ireland. galvindm@tcd.ie., Daykan Y; Department of Obstetrics and Gynaecology, Meir Medical Center, Kfar Saba, Israel.; School of Medicine, Tel Aviv University, Tel Aviv, Israel., Al-Shukaili S; Department of Urogynaecology, Cork University Maternity Hospital, Wilton Road, Wilton, Cork, Ireland.; Obstetrics and Gynaecology Department, Urogynaecology, Royal Hospital, Muscat, Oman., O'Reilly BA; Department of Urogynaecology, Cork University Maternity Hospital, Wilton Road, Wilton, Cork, Ireland., O'Sullivan OE; Department of Urogynaecology, Cork University Maternity Hospital, Wilton Road, Wilton, Cork, Ireland.
Jazyk: angličtina
Zdroj: International urogynecology journal [Int Urogynecol J] 2024 Sep; Vol. 35 (9), pp. 1763-1767. Date of Electronic Publication: 2024 May 29.
DOI: 10.1007/s00192-024-05820-5
Abstrakt: Recently, the debate surrounding the use of mesh in urogynecological procedures has intensified, leading to FDA warnings and heightened safety concerns. This clinical opinion emphasizes the vital need to specify mesh types in these procedures, drawing attention to the risk profiles and clinical outcomes associated with various meshes and the procedures that utilize them. A significant issue identified in contemporary literature is the tendency to group diverse mesh types under the same umbrella, disregarding their unique characteristics and applications. We describe the range of mesh types, their application routes, and associated complications, highlighting the risks of this nonspecific approach to patient safety and informed decision making. We critically examine the generalization of mesh terminology in clinical and research dialogues. Concluding with specific recommendations for health care providers and researchers, the paper advocates for a more nuanced understanding and communication in the field, ultimately aiming to improve patient care and safety in urogynecological practice.
(© 2024. The Author(s).)
Databáze: MEDLINE
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