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Anterior compartment mesh: a descriptive study of mesh anchoring failure
Ultrasound in obstetrics & gynecology, 2013-12, Vol.42 (6), p.699-704
Shek, K. L.
Wong, V.
Lee, J.
Rosamilia, A.
Rane, A. J.
Krause, H.
Goh, J.
Dietz, H. P.
2013
Details
Autor(en) / Beteiligte
Shek, K. L.
Wong, V.
Lee, J.
Rosamilia, A.
Rane, A. J.
Krause, H.
Goh, J.
Dietz, H. P.
Titel
Anterior compartment mesh: a descriptive study of mesh anchoring failure
Ist Teil von
Ultrasound in obstetrics & gynecology, 2013-12, Vol.42 (6), p.699-704
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2013
Link zum Volltext
Quelle
Wiley Online Library Journals Frontfile Complete
Beschreibungen/Notizen
ABSTRACT Objectives To define types of support failure after anterior compartment mesh placement and to investigate any association with predictors of recurrence. Methods This was a retrospective study on patients ≥ 3 months after anterior mesh placement. All patients underwent a standardized interview, clinical examination using the International Continence Society Pelvic Organ Prolapse Quantification system (ICS POP‐Q) and three‐dimensional/four‐dimensional (3D/4D) translabial ultrasound. Mesh failure was defined as recurrence of anterior/central compartment prolapse seen on ultrasound. Failures were classified as anterior, global and apical. Their association with hiatal area on Valsalva maneuver and levator avulsion was tested. Results Three hundred and one patients were seen initially, of whom five were excluded because of missing data, leaving 296. Mean follow‐up was 1.8 (range, 0.3–5.6) years. Mean age was 65 (range, 32–88) years. One hundred and thirty-nine (47%) women were fitted with a PerigeeTM mesh, 66 (22%) with an Anterior ProliftTM mesh and 91 (31%) with an Anterior ElevateTM mesh. Recurrent symptoms (lump/drag) were reported in 65 (22%), a recurrent cystocele was noted in 128 clinically (43%) and in 105 on ultrasound (35%). Avulsion was diagnosed in 117 patients (40%). Mean hiatal area on Valsalva was 33.3 (range, 14.1–60.0) cm2. Mesh failure was diagnosed in 112 patients (38%), comprising global failure in 81 (27%), apical failure in 23 (8%) and anterior failure in eight (3%). Apical and global failures were significantly associated with hiatal area, associations that remained after controlling for potential confounders. Conclusions Mesh failure, i.e. anterior or central compartment recurrent prolapse, was noted in 38% of patients on average 1.8 years after placement of anterior compartment mesh. Global and apical failures together constituted 93% of all mesh failures, both types of failure being significantly associated with hiatal area on Valsalva maneuver. Copyright © 2013 ISUOG. Published by John Wiley & Sons Ltd.
Sprache
Englisch
Identifikatoren
ISSN: 0960-7692
eISSN: 1469-0705
DOI: 10.1002/uog.12577
Titel-ID: cdi_proquest_miscellaneous_1468351472
Format
–
Schlagworte
3D ultrasound
,
Adult
,
Aged
,
Aged, 80 and over
,
Cohort Studies
,
cystocele
,
Cystocele - diagnostic imaging
,
Cystocele - surgery
,
Equipment Failure
,
Failure
,
Female
,
Gynecology
,
Humans
,
Imaging, Three-Dimensional
,
levator ani
,
mesh
,
Middle Aged
,
Pelvic Floor - diagnostic imaging
,
pelvic organ prolapse
,
Recurrence
,
Retrospective Studies
,
Risk Factors
,
Surgical Mesh
,
Ultrasonic imaging
,
Ultrasonography
,
Valsalva Maneuver
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