Use of the Gynecare Prolift® system in surgery for pelvic organ prolapse: 1-year outcome
| Autor: | Ganesh Raj Vaiyapuri, Heng Fok Wong, How Chuan Han, Leng Aun Arthur Tseng, Lih Charn Lee |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Urinary Incontinence Stress Urology Blood Loss Surgical Outcome (game theory) Pelvic Organ Prolapse Gynecologic Surgical Procedures Recurrence Surgical Wound Dehiscence medicine Humans Aged Retrospective Studies Aged 80 and over Hematoma Pain Postoperative Suburethral Slings Pelvic organ business.industry General surgery Obstetrics and Gynecology Retrospective cohort study Length of Stay Middle Aged Surgical Mesh Surgery Treatment Outcome Thigh Vagina Buttocks Female Clinical Competence business Learning Curve |
| Zdroj: | International Urogynecology Journal. 22:869-877 |
| ISSN: | 1433-3023 0937-3462 |
| DOI: | 10.1007/s00192-011-1400-9 |
| Popis: | This retrospective study reports the 1-year outcome in women who underwent mesh-augmented Prolift surgery performed from 2006 to 2008. There were a total of 254 patients, with 128, 106 and 20 patients receiving total, anterior and posterior Prolift, respectively.Incidence of thigh pain was lower in 2008 compared to 2006 and 2007 (p0.0001). The percentage of patients requiring blood transfusions (p = 0.09), duration of IDC ≥ 7 days (p = 0.27), wound dehiscence and re-operation rate were lower in 2008 in contrast to 2006 and 2007 (p = 0.43). Only 209 patients (82.3%) were available for review at 1 year. There were two (1.0%) cases of recurrent vault prolapse.The subjective and objective cure rates at 1 year after this mesh implant surgery in 2006, 2007 and 2008 were 92.1% and 92.1%; 97.0% and 92.4% and 100% and 97%, respectively. The mesh erosion rate was remarkably lower in 2008 as compared to 2007 and 2006 (p0.001).This synthetic mesh-augmented implant surgery is effective and safe, and surgical outcome appears related to the learning curve of the surgeon. |
| Databáze: | OpenAIRE |
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