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Damiani GR, Riva D, Pellegrino A, Gaetani M, Tafuri S, Turoli D, Croce P, Loverro G. Conventional fascial technique versus mesh repair for advanced pelvic organ prolapse: Analysis of recurrences in treated and untreated compartments. J OBSTET GYNAECOL 2015; 36:410-5. [PMID: 26492359 DOI: 10.3109/01443615.2015.1086990] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
117 women with severe pelvic organ prolapse (POP; stage > 2) were enrolled to elucidate a 24-month outcome of POP surgery, using conventional or mesh repair with 3 techniques. 59 patients underwent conventional repair and 58 underwent mesh repair. Two types of mesh were used: a trocar-guided transobturator polypropylene (Avaulta, Bard Inc.) and a porcine dermis mesh (Pelvisoft, Bard Inc.). Women with recurrences, who underwent previous unsuccessful conventional repair, were randomised. Primary outcome was the evaluation of anatomic failures (prolapse stage > 1) in treated and untreated compartments. Anatomic failure was observed in 11 of 58 patients (19%; CI 8.9-29) in the mesh group and in 16 of 59 patients (27.1%; p value = 0.3) in the conventional group. 9 of 11 failures in the mesh group (15.5%; CI 6.2-24.8) were observed in the untreated compartment (de novo recurrences), 14.3% in Pelvisoft and 16.7% in Avaulta arm, while only 1 recurrence in the untreated compartment (1.7%) was observed in the conventional group (odds ratio 10.6, p = 0.03).
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Affiliation(s)
- G R Damiani
- a Department of Obstetrics and Gynecology , Manzoni Hospital , Lecco , Italy.,b Department of Obstetrics and Gynecology , University of Bari Aldo Moro , Policlinico, Bari , Italy.,c Department of Obstetrics and Gynecology , Azienda Ospedaliera di Lodi , Italy.,d Ospedale Manzoni Lecco , via dell' eremo 9/11 Lecco, Lecco , Italy
| | - D Riva
- e Department of Obstetrics and Gynecology , Cantu'-Sant Anna Hospital , Como , Italy
| | - A Pellegrino
- a Department of Obstetrics and Gynecology , Manzoni Hospital , Lecco , Italy
| | - M Gaetani
- b Department of Obstetrics and Gynecology , University of Bari Aldo Moro , Policlinico, Bari , Italy
| | - S Tafuri
- f Department of Biomedical Sciences , Hygiene Section, University of Bari Aldo Moro , Policlinico, Bari , Italy
| | - D Turoli
- a Department of Obstetrics and Gynecology , Manzoni Hospital , Lecco , Italy
| | - P Croce
- g Department of Obstetrics and Gynecology , Azienda Ospedaliera di Lodi , Italy
| | - G Loverro
- b Department of Obstetrics and Gynecology , University of Bari Aldo Moro , Policlinico, Bari , Italy
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