The “Pelvic Harness”: a skeletonized mesh implant for safe pelvic floor reconstruction

AUTOR(ES)

Natalia, Sumerova, Menahem, Neuman, Haim, Krissi, Dmitri, Pushkar

FONTE

Int. braz j urol.

DATA DE PUBLICAÇÃO

2016-06

RESUMO

ABSTRACT Objectives To evaluate the feasibility, safety and surgical results of skeletonized mesh implants to form a pelvic harness for pelvic floor reconstruction surgery. Study design Patients with advanced pelvic floor prolapse were enrolled to this study. Study model was a kit mesh, reduced to 75% of the original surface area by cutting out mesh material from the central mesh body. Patients were evaluated at the end of the 1st and 6th post-operative months and interviewed at the study conclusion. Results Ninety-five women with advanced pelvic floor prolapse had this implant. Mean follow-up duration was 9 months (6-12 months). The POP-Q point’s measurements showed marked and statistically significant improvements. Bladder over-activity symptoms, fecal incontinence, pelvic pain and constipation rates were all reduced as well. No adverse effects related to the dissection or mesh implantation were marked. The first and sixth post-operative month follow-up records as well as the study conclusion interview findings were satisfactory in terms of subjective and objective cure and adverse effects occurrence. Conclusion This study data proposes that skeletonizing meshes might be safely and successfully implanted for potentially improved pelvic floor reconstruction.

Documentos Relacionados

• Internal reconstruction of the pelvic floor for recurrent groin hernia.
• Biofeedback for pelvic floor dysfunction in constipation
• Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse
• Pelvic floor exercises with biofeedback for stress urinary incontinence
• Pelvic floor and abdominal muscle cocontraction in women with and without pelvic floor dysfunction: a systematic review and meta-analysis