Short-term outcome after transvaginal mesh repair of pelvic organ prolapse

Short-term outcome after transvaginal mesh repair of pelvic organ prolapse
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DOI:
10.1007/s00192-007-0526-2
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发表时间:
2008-06-01
影响因子:
1.8
通讯作者:
Falconer, Christian
Falconer, Christian
中科院分区:
医学3区
文献类型:
--
作者:
Altman, Daniel;Vayrynen, Tapio;Falconer, Christian

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本研究的目的是报告使用Prolift(R)经阴道补片行盆腔器官脱垂修补术后的短期结局。在28个中心进行了一项为期3年的多中心前瞻性队列研究。术前和术后2个月的评估包括条件特异性盆腔器官脱垂量化系统(POP-Q)和宏观炎症量表。使用泌尿生殖窘迫量表(UDI)和失禁影响问卷(IIQ-7)测量主观结局。随访期间的手术特征和不良事件记录在单独的方案中。该评价基于中期安全性分析,包括123例病例的2个月评价。盆腔脏器穿孔4例(3.2%),膀胱损伤3例,直肠穿孔1例。随访2个月时,有2例补片暴露,手术区域轻中度肉芽肿形成增加(P
The objective of this study is to report on short-term outcomes after pelvic organ prolapse repair using Prolift(R) transvaginal mesh. A 3-year multicenter prospective cohort study was performed in 28 centers. Assessment preoperatively and at 2 months postoperatively included the condition-specific pelvic organ prolapse quantification system (POP-Q) and a macroscopic inflammatory scale. Subjective outcome was measured using the urogenital distress inventory (UDI) and the incontinence impact questionnaire (IIQ-7). Surgical characteristics and adverse events during follow-up were registered in a separate protocol. The evaluation is based on the interim safety analysis and includes 2-month evaluations of 123 cases. Pelvic organ perforation occurred in four cases (3.2%), three bladder injuries and one case of rectal perforation. At the 2-month follow-up, there were two cases of mesh exposure, an increase of mild-moderate granuloma formation in the operated areas (P