Complication and Reoperation Rates After Apical Vaginal Prolapse Surgical Repair

Diwadkar, Gouri B.; Barber, Matthew D.; Feiner, Benjamin; Maher, Christopher; Jelovsek, J. Eric

doi:10.1097/aog.0b013e318195888d

Cited by 285 publications

(177 citation statements)

References 31 publications

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“…The rate of mesh exposure in our study was 0.8 %, lower than those in published studies that reported a rate between 5.8 and 19 % [13,16,21]. The lower rate in the present study may be associated with short follow-up period and surgeon's experience on mesh application.…”

Section: Discussioncontrasting

confidence: 56%

“…Diwadkar et al [13] in a meta-analysis of 24 studies including 3,425 patients and Gomelsky et al [16] in a review of 16 studies including 1,552 patients reported bladder injury as 0.7, 2.6 % and bowel injury as 0.3, 0.3 %, respectively. In the clinical studies, Kato et al [17] in 300 Patients and Caquant et al [18] in 684 patients reported bladder injury as 3.7, 0.7 % and rectal injury as 0.3, 0.3 % respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Although the use of synthetic material in prolapse surgery seems to be very effective, as supported by high cure rates, short operating and recovery time, and low recurrence rates [2][3][4][5][6][7][8], clinical experience has shown that implantation of meshes may be associated with side effects, such as pain, mesh exposures and infection, vaginal bleeding, vaginal discharge, fistulas, and dyspareunia [9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Perioperative Complications in Vaginal Mesh Procedures Using Trocar in Pelvic Organ Prolapse Repair

Demirci

Karakoç

Demirci

et al. 2013

J Obstet Gynecol India

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Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perioperative Complications in Vaginal Mesh Procedures Using Trocar in Pelvic Organ Prolapse Repair

Demirci

Karakoç

Demirci

et al. 2013

J Obstet Gynecol India

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“…7,17 Our study suggests the minimally invasive Capio results in similar levels of buttock pain than if the procedure is performed with the Miya hook.…”

Section: Resultsmentioning

confidence: 77%

A descriptive study on the efficacy and complications of the Capio (Boston Scientific) suturing device for sacrospinous ligament fixation

Mowat

Wong

Goh

et al. 2017

Aust NZ J Obst Gynaeco

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Background: Sacrospinous colpopexy is an effective vaginal apical support operation. Due to morbidity associated with traditional approaches which require wide dissection, slim-line suture delivery devices have been introduced in the hope of reducing morbidity without compromise to outcomes. Aim:The aim of our series was to report outcomes and complications (particularly buttock pain and blood loss) of the sacrospinous colpopexy using the Capio suturing device and evaluate it against published results using the Miya hook.Methods: This is a prospective, multi-centre descriptive study. The primary outcome is objective success at 12 months. Secondary outcomes include subjective success at 12 months, patient-reported outcomes at 12 months, operating time, estimated blood loss and post-operative buttock pain.Results: Fifty-one consenting patients undergoing sacrospinous colpopexy were recruited at four Queensland hospitals. Objective success at 12 months was 95% (41/43) and subjective success at 12 months was 92% (44/48). Eighty-four percent of patients reported buttock pain at one week, reducing to 16% by six weeks, of which 7% required analgesia. Conclusions:At a mean of 17 months follow up, we found that the sacrospinous colpopexy using the Capio suturing device provided excellent apical support with a low requirement for blood transfusion and an average operating time of seven minutes. We found a high rate of buttock pain immediately post-operatively, but our rates became consistent with previous reports by six weeks post-operation.

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“…Complete excision of the mesh is rarely indicated. Surgical procedures to partially or completely excise the mesh can be difficult; surgery may not always eliminate or reduce patient discomfort and can lead to further complications [150][151][152]. This is a particular problem of mesh-assisted surgical procedures, and it is therefore particularly important to provide the patient with detailed information on the risks involved.…”

Section: Sexual Dysfunctionmentioning

confidence: 99%

Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

Baeßler

Aigmüller

Albrich

et al. 2016

Geburtshilfe Frauenheilkd

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Ziel: Erstellung einer offiziellen, internationalen, interdisziplinären Leitlinie, publiziert und koordiniert von der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG). Die Leitlinie wurde für den deutschsprachigen Raum entwickelt und wird neben der DGGG auch von der Schweizerischen Gesellschaft für Gynäkologie und Geburtshilfe (SGGG) und der Österreichischen Gesellschaft für Gynäkologie und Geburtshilfe (OEGGG) mitgetragen. Das Ziel dieser Leitlinie, die von der DGGG publiziert und koordiniert wurde, ist es, durch die Evaluation der relevanten Literatur einen evidenzbasierten Überblick über die Diagnostik sowie konservative und operative Therapie des Descensus genitalis der Frau mit oder ohne Belastungsinkontinenz zu geben. Methoden: Es erfolgte ein systematischer Review sowie Synthese von Daten, anteilig mit Metaanalyse (S2e). Es wurde eine umfassende Literatursuche in MEDLINE, Embase, Cinahl, Pedro und im Cochrane-Register, in Referenzlisten und in den Abstracts der Annual Meetings der International Continence Society und der International Urogynecological Association durchgeführt. Abstracts wurden eingeschlossen, wenn es sich um randomisierte Studien handelte, die als Podiumpräsentation vorgestellt und diskutiert wurden. Es wurden Originalarbeiten seit 2008 eingeschlossen, deren Nachkontrollzeitraum bei mindestens 12 Monaten lag. Für die Beschreibung von perioperativen Komplikationen wurden jegliche Daten herangezogen. Empfehlungen: Es werden Empfehlungen zur Diagnostik, konservativen und operativen Therapie des Genitaldeszensus gegeben, wobei die 3 urogynäkologischen Kompartimente, Prävention oder Behandlung von Belastungsinkontinenz, Vor-und Nachteile von Netzaugmentationen sowie uteruserhaltende Optionen, berücksichtigt

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Complication and Reoperation Rates After Apical Vaginal Prolapse Surgical Repair

Abstract: The rate of complications requiring reoperation and the total reoperation rate was highest for vaginal mesh kits despite a lower reoperation rate for prolapse recurrence and shorter overall follow-up.

Cited by 285 publications

References 31 publications

Perioperative Complications in Vaginal Mesh Procedures Using Trocar in Pelvic Organ Prolapse Repair

Perioperative Complications in Vaginal Mesh Procedures Using Trocar in Pelvic Organ Prolapse Repair

A descriptive study on the efficacy and complications of the Capio (Boston Scientific) suturing device for sacrospinous ligament fixation

Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

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