Anatomic outcomes of vaginal mesh procedure (Prolift) compared with uterosacral ligament suspension and abdominal sacrocolpopexy for pelvic organ prolapse: a Fellows' Pelvic Research Network study

Sanses, Tatiana; Shahryarinejad, Azin; Molden, Stephanie; Hoskey, Kay A.; Abbasy, Shameem; Patterson, Danielle; Saks, Emily K.; LeBrun, Emily E. Weber; Gamble, Tondalaya; King, Virginia G.; Nguyen, Aimee; Abed, Husam; Young, Stephen B.

doi:10.1016/j.ajog.2009.07.004

Cited by 32 publications

(28 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, there was no significant difference between the modified and Prolift-a groups using the non-inferiority test (P \ 0.05), indicating the surgical efficacy of modified procedure was not inferior to that of Prolift-a. Furthermore, the success rate of 97.3% in the Prolift-a group also compared well with previous reports [2,12,14,15].…”

Section: Discussionsupporting

confidence: 89%

“…Vaginal mesh procedures (VMP) provided an effective, safe, and mini-invasive surgical approach [9], which could possibly reduce the recurrence prolapse rate. As a representative surgical procedure of VMP [2], the Prolift procedure achieved satisfactory success rate when compared with traditional approaches, such as abdominal sacral colpopexy [10][11][12], sacrospinous fixation [13], and uterosacral ligament suspension [12], but less invasive. However, the surgical cost using the Prolift kit is too high to be affordable for most patients in developing countries.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A modified anterior compartment reconstruction and Prolift-a for the treatment of anterior pelvic organ prolapse: a non-inferiority study

Xiang

2011

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

A modified anterior compartment reconstruction and Prolift-a for the treatment of anterior pelvic organ prolapse: a non-inferiority study

Xiang

2011

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

“…There are only three published studies (20)(21)(22) comparing vaginal mesh kit complications and recurrence rates with conventional procedures.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Complications in Abdominal Sacrocolpopexy, Sacrospinous Ligament Fixation and Prolift Procedures

Demirci¹,

Demirci²,

Dolgun³

et al. 2014

Balkan Med J

View full text Add to dashboard Cite

Prolapse of pelvic organs is an important reason for gynecologic surgery. Although little is known about the pathophysiology, some reasons are speculated for the process, which are mainly relevant to pregnancy, such as macrosomic fetus, prolonged labor, instrumental delivery, and multiparity. Rectocele, enterocele, and cystocele are common co-existing situations with uterovaginal prolapse, showing that this is a complex anatomical disorder. A proper repair can only be done with correct identification and differentiation (1).The purpose of a reconstructive procedure is the correction and restoration of the prolapse with the most effective longlasting result, which allows sexual functioning and, for young patients, conservation of reproduction (2).There is a variety of operations for uterovaginal prolapse treatment. The most accepted procedures are vaginal sacrospinous ligament fixation and abdominal sacrocolpopexy/ sacrohysteropexy. Recently, vaginal meshes are being more frequently used in apical prolapse as a kit (3, 4). In abdominal sacrocolpopexy, a mesh is used to bridge and hang the cervix or upper vagina to the anterior vertebral ligament in front of the sacral bone. Vaginal sacrospinous ligament fixation was first presented to correct vaginal vault prolapses after hysterectomy (5) but then a wide application area for severe uterovaginal prolapses was found (6, 7). The meshes are commercially produced and used as sterile prolapse kits that consist of a fashioned mesh, trocars, or trocars with cannulas.The aim of our study is to compare the perioperative complications of a prolapse kit (Prolift, Gynecare/Ethicon, Somerville, NJ, USA) with pelvic floor reconstructive procedures for vaginal vault or uterovaginal prolapse, such as transvaginal sacrospinous ligament fixation and abdominal sacrocolpopexy/sacrohysteropexy. Background: Pelvic organ prolapse is an important problem for women. To overcome this issue, different operational technics are in use, such as abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure. Aims: This study assessed perioperative complications in abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure. Study Design: Retrospective comparative study. Methods: Perioperative complications were defined as any complication occurring during surgery or the first 6 weeks postoperatively. Forty-five patients underwent abdominal procedures, 60 patients underwent sacrospinous fixation, and 43 patients underwent the total Prolift procedure. Results:In the abdominal group, one bladder injury, four hemorrhages, and three wound dehiscences occurred. In the sacrospinous group, one rectal injury and one postoperative vault infection occurred. In the Prolift group, one bladder injury and one hemorrhage occurred. Minor complications were more frequent in the abdominal group than the others. The operating time and hospital stay of the abdominal group were significantly longer than the others. The Prolift procedure had less operating time and hospital stay...

show abstract

“…Over the past 3 years the network has published eight papers in peer-reviewed journals [1][2][3][4][5][6][7][8], and a further three manuscripts have been submitted for consideration for publication. In addition, the members of the network have actively participated in scientific conferences and presented nine of their studies as podium and poster presentations.…”

Section: Research Achievementsmentioning

confidence: 99%

The Fellows’ Pelvic Research Network (FPRN) 5 years later: an update

et al. 2012

View full text Add to dashboard Cite

Anatomic outcomes of vaginal mesh procedure (Prolift) compared with uterosacral ligament suspension and abdominal sacrocolpopexy for pelvic organ prolapse: a Fellows' Pelvic Research Network study

Cited by 32 publications

References 23 publications

A modified anterior compartment reconstruction and Prolift-a for the treatment of anterior pelvic organ prolapse: a non-inferiority study

A modified anterior compartment reconstruction and Prolift-a for the treatment of anterior pelvic organ prolapse: a non-inferiority study

Perioperative Complications in Abdominal Sacrocolpopexy, Sacrospinous Ligament Fixation and Prolift Procedures

The Fellows’ Pelvic Research Network (FPRN) 5 years later: an update

Contact Info

Product

Resources

About