Management of Mesh Complications after SUI and POP Repair: Review and Analysis of the Current Literature
| Autor: | D. Y. Deng, Dimitri Barski |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
General Immunology and Microbiology business.industry lcsh:R MEDLINE lcsh:Medicine Retrospective cohort study Review Article General Medicine Surgical Mesh Pelvic Organ Prolapse General Biochemistry Genetics and Molecular Biology Surgery Resection Surgical mesh medicine Humans Mesh erosion Female Good outcome Complication Surgical treatment business |
| Zdroj: | BioMed Research International, Vol 2015 (2015) BioMed Research International |
| ISSN: | 2314-6141 2314-6133 |
| DOI: | 10.1155/2015/831285 |
| Popis: | Purpose.To evaluate the surgical treatment concepts for the complications related to the implantation of mesh material for urogynecological indications.Materials and Methods.A review of the current literature on PubMed was performed.Results.Only retrospective studies were detected. The rate of mesh-related complications is about 15–25% and mesh erosion is up to 10% for POP and SUI repair. Mesh explantation is necessary in about 1-2% of patients due to complications. The initial approach appears to be an early surgical treatment with partial or complete mesh resection. Vaginal and endoscopic access for mesh resection is favored. Prior to recurrent surgeries, a careful examination and planning for the operation strategy are crucial.Conclusions.The data on the management of mesh complication is scarce. Revisions should be performed by an experienced surgeon and a proper follow-up with prospective documentation is essential for a good outcome. |
| Databáze: | OpenAIRE |
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