Should the visceral peritoneum be closed over mesh in abdominal sacrocolpopexy?
| Autor: | Umit Nayki, Nahit Ata, Pasa Ulug, Mehmet Kulhan, Nusrettin Yilmaz, Nur Gözde Kulhan, Cenk Nayki |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Urinary urgency Turkey Postoperative pain Operative Time Analgesic Blood Loss Surgical Tissue Adhesions Severity of Illness Index Pelvic Organ Prolapse law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine Randomized controlled trial law medicine Humans Retrospective Studies Analgesics Pain Postoperative Pelvic organ 030219 obstetrics & reproductive medicine Abdominal sacrocolpopexy business.industry Incidence Abdominal Wall Obstetrics and Gynecology Urinary Incontinence Urge Middle Aged Surgical Mesh Surgery Cross-Sectional Studies Dyspareunia Reproductive Medicine Operative time Female Peritoneum medicine.symptom business Visceral peritoneum 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 222:142-145 |
| ISSN: | 0301-2115 |
| DOI: | 10.1016/j.ejogrb.2018.01.027 |
| Popis: | Introduction and hypothesis Peritonisation of mesh during Abdominal sacrocolpopexy is generally advocated to prevent adhesions to the viscera; however, randomized clinical trials are lacking. In this study; we aimed to investigate whether the mesh peritonisation is clinically significant or not. Material method Thirty-four patients who were operated for the reason of pelvic organ prolapse were included in the study. Patients were divided into two groups by retrospective scanning from the files and surgical reports. Group 1 patients consisted of those who underwent peritonisation and group 2 patients consisted of those who did not in abdominal sacrocolpopexy. Results Operative time and the amount of blood lost were statistically less in the group 2. Postoperative pain and analgesic drug requirements were obviously higher in the group 1. Postoperative De novo dyspareunia and urinary urgency were higher in the group 1. There were no statistical differences between the groups in terms of other complications. Conclusion We noticed that there was no difference between the patients who were peritonized and those who were not in terms of postoperative complications. |
| Databáze: | OpenAIRE |
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