Use of synthetic mesh in pelvic reconstructive surgery: a survey of attitudes and practice patterns of urogynecologists
Use of synthetic mesh in pelvic reconstructive surgery: a survey of attitudes and practice patterns of urogynecologists
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DOI：
10.1007/s00192-007-0360-6
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发表时间：
2007-12-01
影响因子：
1.8
通讯作者：
Rosenblatt, Peter L.
中科院分区：
文献类型：
--
作者：
Pulliam, Samantha J.;Ferzandi, Tanaz R.;Rosenblatt, Peter L.
这项研究调查了妇科医生对在骨盆重建手术中使用合成网片的态度和实践模式。一项基于网络的调查针对美国泌尿外科学会的成员进行。这项调查评估了这种网片在固定术、阴式悬带和阴道骨盆重建手术中的应用。这项调查的回复率为30.5%。101名(39%)受访者为女性，158名(61%)为男性。147人(56.8%)参加了团契培训。目前有247人(99.5%)使用合成网片进行手术，其中93%的人施行固定术，93%的人施行尿道下悬吊术。在包括性别、团契培训和实习环境的Logistic回归模型中，男性外科医生和未接受团契培训的人比那些接受团契培训的人更有可能使用网状网。受访者在进行固定术和腹股沟下悬吊术时最常使用网眼。使用网片进行前、后修补术的情况并不常见。
This study surveyed attitudes and practice patterns of urogynecologists regarding the use of synthetic mesh in pelvic reconstructive surgery. A web-based survey was administered to members of the American Urogynecologic Society. The survey evaluated the use of the mesh for sacrocolpopexy, suburethral sling, and vaginal pelvic reconstructive surgery. The survey had a 30.5% response rate. One hundred one (39%) respondents were women, and 158 (61%) were men. One hundred forty-seven (56.8%) participated in fellowship training. Two hundred forty-seven (99.5%) currently perform procedures using synthetic mesh, including 93% who perform sacrocolpopexy and 93% who perform suburethral slings. In a logistic regression model including gender, fellowship training, and practice setting, male surgeons and those who had not undergone fellowship training were more likely to use the mesh than those who were fellowship trained. Respondents use the mesh most commonly when performing sacrocolpopexies and suburethral slings. The use of the mesh for anterior and posterior colporrhaphy is less common.