Anterior/Apical single incision mesh (Elevate™): Surgical experience, anatomical and functional results, and long-term complications
| Autor: | Vito Andrea Capozzi, Vito Chiantera, Pierre Gadonneix, E. Vincens, Michele Meschia, Annamaria Maglione, Giulio Sozzi, Richard Villet, Raffaele Faioli, Delphine Salet-Lizee |
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| Přispěvatelé: | Faioli R., Sozzi G., Chiantera V., Maglione A., Capozzi V.A., Gadonneix P., Salet-Lizee D., Vincens E., Meschia M., Villet R. |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Long term complications
medicine.medical_specialty Urinary Incontinence Stress Mesh vaginal surgery Urinary incontinence Urogynecology Pelvic Organ Prolapse 03 medical and health sciences 0302 clinical medicine Gynecologic Surgical Procedures Medicine Humans 030212 general & internal medicine Pelvic organ 030219 obstetrics & reproductive medicine Urinary bladder business.industry Urinary retention Standard treatment Obstetrics and Gynecology Surgical Mesh Surgery medicine.anatomical_structure Treatment Outcome Utero-vaginal prolapse Reproductive Medicine Single incision Vagina Female medicine.symptom business Follow-Up Studies |
| Popis: | Objective Pelvic organ prolapse is a common condition among post-menopausal women, and surgery is often the standard treatment proposed. Native tissue vaginal surgery is burdened by a high rate of recurrence, and mesh vaginal surgery has become current practice. The purpose of this study was to evaluate the safety and the effectiveness of the vaginal kit Anterior/Apical single incision mesh Elevate™ for the correction of anterior and apical compartment prolapse. Study design Data of patients with symptomatic anterior vaginal prolapse stage ≥ II, receiving mesh repair with the Anterior/Apical Elevate single incision system between January 2010 and January 2015 were retrieved. Prolapse was classified according to the POP-Q system. The main outcome measure was anatomical success, while subjective and safety outcomes were secondary outcomes. Results Anatomical success rate was 87.2 % for anterior compartment prolapse and 84.6 % for combined anterior and apical prolapse, while overall functional success rate was 96.2 % after a median follow-up of 33.6 months. The most frequent short-term complications were urinary bladder injury (3.0 %) and transient urinary retention (6.9 %). The most common long-term complications were de novo or persistent symptomatic stress urinary incontinence (10.8 %) and vaginal mesh extrusion (3.8 %). Conclusion Mesh vaginal surgery with Anterior/Apical single incision mesh Elevate™ is a well-tolerated procedure with a very high anatomical and functional success rate. Short and long-term complications rate seem to be acceptable, and in most of cases, solvable. Further studies are needed to confirm our promising data. |
| Databáze: | OpenAIRE |
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