Ultrasound appearances after mesh implantation—evidence of mesh contraction or folding?

Autor: A Martan, Jaromir Masata, Marketa Pavlikova, Petr Hubka, Kamil Svabik, Rachid El-Haddad
Rok vydání: 2010
Předmět:
Zdroj: International Urogynecology Journal. 22:529-533
ISSN: 1433-3023
0937-3462
DOI: 10.1007/s00192-010-1308-9
Popis: Polypropylene meshes are frequently used in abdominal and vaginal reconstructive surgery. Recently, several authors have claimed that mesh-associated complications may be linked to mesh shrinkage. We have performed a prospective study with postoperative follow-up by ultrasound examination at two time points after Prolift anterior implantation to assess changes in the ultrasound appearance of mesh implants over time. We assessed 36 patients who had undergone mesh implantation with Prolift anterior™ mesh for the correction of symptomatic anterior vaginal wall prolapse. During the surgery, we measured the actual midline length of the mesh (initial length). On the fourth postoperative day, we performed a vaginal ultrasound examination (US) to measure mesh length in the midsagittal plane. A second US was performed 3–5 months after surgery to repeat this measurement. There was a significant difference in mesh length determined before and 4 days after surgery (90.3 vs. 57.1 mm, P =
Databáze: OpenAIRE