|
1
|
Hu P, Lei L, Wang Y, Tang J, Liu L. Effect of anterior vaginal wall prolapse repair by modified transvaginal mesh surgery: a retrospective cohort study. Arch Gynecol Obstet 2023; 307:1513-1520. [PMID: 36773045 DOI: 10.1007/s00404-023-06945-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 01/24/2023] [Indexed: 02/12/2023]
Abstract
OBJECTIVE To explore clinical outcomes and complications of modified Transvaginal mesh (M-TVM) for advanced anterior vaginal wall prolapse in 1 year follow-up. METHODS 574 patients underwent TVM surgeries from 2019 to 2020 were collected and divided into TVM group and M-TVM group, all preoperative and postoperative data was obtained and compared between the two groups. RESULTS 285 women were involved eventually, including 181 in TVM group and 104 in M-TVM group. No significant difference of general conditions was found between these two groups. After long-term follow-up, patients in TVM group were more likely to suffer from pelvic pain than M-TVM group (P = 0.046). Meshes seemed much wider in M-TVM group (4.5 ± 0.69 cm) than in TVM group (3.0 ± 0.91 cm). No matter TVM or M-TVM, surgeries can significantly change point Aa and Ba when compared to preoperative data. Compared to TVM group, point C and D were significant changed in patients in M-TVM group after surgery (P < 0.001) CONCLUSION: M-TVM is a commendable procedure that can significant correct anterior prolapse with mesh extended wider, and also supply stable apical support at the same time.
Collapse
Affiliation(s)
- Pan Hu
- Obstetrics and Gynecology, Chongqing Health Center for Women and Children, No.120, Longshan Road, Yubei District, Chongqing, 410013, China.,Obstetrics and Gynecology, Women and Children's Hospital, Chongqing Medical University, Chongqing, China
| | - Li Lei
- Obstetrics and Gynecology, Chongqing Health Center for Women and Children, No.120, Longshan Road, Yubei District, Chongqing, 410013, China.,Obstetrics and Gynecology, Women and Children's Hospital, Chongqing Medical University, Chongqing, China
| | - Ying Wang
- Obstetrics and Gynecology, Chongqing Health Center for Women and Children, No.120, Longshan Road, Yubei District, Chongqing, 410013, China.,Obstetrics and Gynecology, Women and Children's Hospital, Chongqing Medical University, Chongqing, China
| | - Jing Tang
- Ultrasound, Chongqing Health Center for Women and Children, Chongqing, China.,Ultrasound, Women and Children's Hospital of Chongqing Medical University, Chongqing, China
| | - Lubin Liu
- Obstetrics and Gynecology, Chongqing Health Center for Women and Children, No.120, Longshan Road, Yubei District, Chongqing, 410013, China. .,Obstetrics and Gynecology, Women and Children's Hospital, Chongqing Medical University, Chongqing, China.
| |
Collapse
|
|
2
|
Scott VCS, Oliver JL, Raz S, Kim JH. Robot-assisted laparoscopic sacrocolpopexy with autologous fascia lata: technique and initial outcomes. Int Urogynecol J 2019; 30:1965-1971. [DOI: 10.1007/s00192-019-03884-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Accepted: 01/16/2019] [Indexed: 11/30/2022]
|