Transvaginal PVDF-mesh for cystocele repair A cohort study /
Introduction Optimized biocompatibility of new materials is a major requirement for transvaginal meshes for pelvic organ prolapse (POP) repair. Polyvinylidene fluoride (PVDF) presented good characteristics in prior animal experiments and clinical use in humans. Methods Between 01/2012 and 04/2016 37...
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| Dokumentumtípus: | Cikk |
| Megjelent: |
Elsevier
2017
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| Sorozat: | INTERNATIONAL JOURNAL OF SURGERY
39 |
| doi: | 10.1016/j.ijsu.2017.02.006 |
| mtmt: | 3195027 |
| Online Access: | http://publicatio.bibl.u-szeged.hu/11732 |
| Tartalmi kivonat: | Introduction Optimized biocompatibility of new materials is a major requirement for transvaginal meshes for pelvic organ prolapse (POP) repair. Polyvinylidene fluoride (PVDF) presented good characteristics in prior animal experiments and clinical use in humans. Methods Between 01/2012 and 04/2016 37 women underwent transvaginal repair of symptomatic prolapse of the anterior vaginal wall (cystocele) with PVDF-mesh in a single institution. A chart review for recurrence, continence, peri- and early postoperative complications was performed. Referring practitioners were interviewed by telephone and mail. Additionally patient reported outcome and satisfaction were measured by Patient Global Improvement Inventory (PGI-I) scale. Results 34 women were eligible for a mean follow up of 19 months. The functional outcome improved significantly. One symptomatic vault prolapse (2.9%) and two reoperations for incontinence (5.9%) occurred. Two mesh exposures (5.9%) occurred and were treated conservatively. No other severe complications were registered. 87.5% of treated women felt very much better or much better and would undergo the surgery again. A cohort study including development steps in accordance with the IDEAL system is presented. Conclusions For the first time we report on effectivity and safety of transvaginal application of PVDF-mesh in real-life practice. A prospective long-term evaluation in a registry is justified. © 2017 IJS Publishing Group Ltd |
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| Terjedelem/Fizikai jellemzők: | 249-254 |
| ISSN: | 1743-9191 |