Outcome and efficacy of a transobturator polypropylene mesh kit in the treatment of anterior pelvic organ prolapse (CROSBI ID 214178)
Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija
Podaci o odgovornosti
Grgić, Ozren ; Orešković, Slavko ; Lovrić, Helena ; Kalafatić, Držislav ; Župić, Tomislav ; Maurac, Ivana
engleski
Outcome and efficacy of a transobturator polypropylene mesh kit in the treatment of anterior pelvic organ prolapse
Objective was to report the efficacy and complications of anterior pelvic organ prolapse (POP) repair with mesh placed through the transobturator route (Perigee system ; AMS, Minnetonka, MN, USA). In total, 198 women with anterior POP grade II or higher according to the POP Quantification (POP-Q) system were treated with the Perigee procedure. The primary outcome was defined as anterior POP grade I or lower at 12 months' follow-up. The secondary outcomes included the incidences of perioperative, mesh-related, short-term, and long-term postoperative complications. The cure rate was 92.9% overall and 90.6% among women who had previously undergone a hysterectomy or a traditional anterior colporrhaphy. The mean POP-Q Aa and Ba values were significantly improved after the procedure (Aa 2.2 cm [0.0 to 3.0 cm] versus -2.1cm [-3.0 to -1.2 cm] ; Ba -2.5 cm [-1.0 to 4.2 cm] versus -2.2 cm [-5.5 to -1.0 cm] ; P<0.001). Vaginal or bladder erosions were observed in 3 patients. Other short- and long-term complications were infrequent and not statistically significant. The Perigee procedure is effective in the treatment of anterior POP and does not have serious complications even among women with previous hysterectomy or traditional anterior colporrhaphy.
transobturator; mesh; outcome; perigee; pelvic organ prolapse
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Podaci o izdanju
116 (1)
2012.
72-75
objavljeno
0020-7292
10.1016/j.ijgo.2011.08.014
Povezanost rada
Kliničke medicinske znanosti