Mechanical properties of synthetic implants used in the repair of prolapse and urinary incontinence in women:: which is the ideal material?
Mechanical properties of synthetic implants used in the repair of prolapse and urinary incontinence in women:: which is the ideal material?
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DOI：
10.1007/s00192-003-1066-z
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发表时间：
2003-08-01
影响因子：
1.8
通讯作者：
Ego, A
中科院分区：
文献类型：
--
作者：
Cosson, M;Debodinance, P;Ego, A
作者回顾了有关用于脱垂修复或压力性尿失禁治疗的所有类型合成材料植入物的文献，并分析了所使用的各种产品的机械性能和耐受性。还研究了各种合成植入物，包括它们的优点和缺点，以及植入后的结果和宿主的耐受性，关于产品类型和干预类型。对当前植入物产品的审查表明，目前不存在完美的产品。这些产品中最有希望用于经阴道手术以恢复骨盆功能的似乎是主要由聚丙烯制成的合成假体，其提供耐久性和弹性的机械性能。它们的耐药性是无可争议的，但当通过阴道途径插入时，它们是否具有良好的耐受性仍有待证明。其使用的技术模式仍在评估中，这将有助于更好地识别这些产品在脱垂修复和阴道途径尿失禁治疗中的各自适应症。
The authors review the literature concerning all types of synthetics implants used in prolapse repair or the treatment of stress urinary incontinence, and analyze the mechanical properties of and the tolerance to the various products used. Various synthetic implants are also studied, including their advantages and disadvantages, as well as outcome following implantation and tolerance by the host, with respect to the type of product and the type of intervention. A review of current implant products demonstrated that the perfect product does not exist at present. The most promising of theses products for applications in transvaginal surgery to restore pelvic function appears to be the synthetic prostheses made predominantly of polypropylene, which offer mechanical properties of durability and elasticity. Their properties of resistance are undisputed, but it remains to be shown whether they are well tolerated when inserted by the vaginal route. The technical modalities for their use are still under evaluation, which should enable a better identification of the respective indications for these products in prolapse repair and treatment of urinary incontinence by the vaginal route.