International urogynecology journal and pelvic floor dysfunction · 2009
Complications from vaginally placed mesh in pelvic reconstructive surgery.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Blandon Roberta E, Gebhart John B, Trabuco Emanuel C, Klingele Christopher J
Аннотация
INTRODUCTION AND HYPOTHESIS: We describe complications associated with the use of transvaginal mesh for treatment of pelvic organ prolapse.
METHODS: We retrospectively identified patients referred to our institution from January 2003 through September 2007 who had complications after vaginal placement of mesh.
RESULTS: We identified 21 patients with a mean (SD) age of 61 (11) years. Types of mesh used included mesh kits (n = 9, 43%), nontrocar mesh augmentation (n = 5, 24%), IVS Tunneller (n = 4, 19%), and unspecified (n = 3, 14%). Eleven patients (52%) underwent more than one procedure before referral. Only three patients were referred by the original treating surgeon. Complications included mesh erosions in 12 women, dyspareunia in ten, and recurrent prolapse in nine. Sixteen patients (76%) were managed surgically. Follow-up survey among sexually active patients showed 50% with persistent dyspareunia.
CONCLUSIONS: Use of vaginal mesh for pelvic reconstruction can produce complications. Multiple interventions may be necessary, and bothersome symptoms may persist.
METHODS: We retrospectively identified patients referred to our institution from January 2003 through September 2007 who had complications after vaginal placement of mesh.
RESULTS: We identified 21 patients with a mean (SD) age of 61 (11) years. Types of mesh used included mesh kits (n = 9, 43%), nontrocar mesh augmentation (n = 5, 24%), IVS Tunneller (n = 4, 19%), and unspecified (n = 3, 14%). Eleven patients (52%) underwent more than one procedure before referral. Only three patients were referred by the original treating surgeon. Complications included mesh erosions in 12 women, dyspareunia in ten, and recurrent prolapse in nine. Sixteen patients (76%) were managed surgically. Follow-up survey among sexually active patients showed 50% with persistent dyspareunia.
CONCLUSIONS: Use of vaginal mesh for pelvic reconstruction can produce complications. Multiple interventions may be necessary, and bothersome symptoms may persist.
Предметные рубрики MeSH
AgedBlood Loss, SurgicalBlood VolumeDyspareuniaFemaleHumansLength of StayMiddle AgedOperative TimePelvic Organ ProlapsePelvic PainPostoperative ComplicationsProsthesis FailureQuality of LifeRecurrenceReoperationRetrospective StudiesSurgical MeshSurveys and QuestionnairesUrinary IncontinenceVaginaVaginal Discharge