Dynamic magnetic resonance imaging for assessment of minimally invasive pelvic floor reconstruction with polypropylene implant

Siegmann, K. C.; Reisenauer, Christl; Speck, S; Barth, S.; Kraemer, Bernhard; Claussen, Claus D.

doi:10.1016/j.ejrad.2010.03.014

Cited by 21 publications

(21 citation statements)

References 20 publications

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“…women with primary as well as recurrent pelvic organ prolapse were included and the follow‐up rate in this study was only 64%, which may have caused a significant bias. In a recent study with dynamic magnetic resonance imaging a much higher rate of de novo prolapse of 73% (11 of 15) was observed in the untreated compartments 3 months following pelvic organ prolapse repair with polypropylene mesh 12 …”

Section: Discussionmentioning

confidence: 96%

Development of de novo prolapse in untreated vaginal compartments after prolapse repair with and without mesh: a secondary analysis of a randomised controlled trial

Withagen

Milani

Leeuw

et al. 2012

BJOG

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Objective To compare the de novo prolapse rate in the untreated vaginal compartments following conventional vaginal prolapse repair and tension-free vaginal mesh repair.Design Secondary analysis of a randomised controlled trial.Setting Thirteen centres in the Netherlands.Population Women with recurrent pelvic organ prolapse stage II or higher.Methods Random assignment to either conventional vaginal native tissue repair or vaginal mesh insertion.Main outcome measures Primary outcome: de novo pelvic organ prolapse stage II or higher in the untreated vaginal compartments at 12 months after surgery. Secondary outcomes: de novo pelvic organ prolapse at and beyond the hymen, de novo prolapse beyond the hymen and prolapse domain scores of the Urogenital Distress Inventory.Results At 12 months ten of 59 women (17%) in the conventional group versus 29 of 62 women (47%) in the mesh group were diagnosed with a de novo pelvic organ prolapse stage II or higher in the untreated compartment (P < 0.001, odds ratio 4.3, 95% confidence interval 1.9-10.0). Additional apical support to a mesh-augmented anterior repair significantly reduced the de novo prolapse rate. Women with a de novo prolapse in the mesh-treated group demonstrated significantly higher mean bother scores on the domain genital prolapse of the Urogenital Distress Inventory score (13.1 ± 24.2) compared with those without de novo prolapse (2.9 ± 13.9) (P = 0.03).Conclusion Mesh-augmented prolapse repair in only one vaginal compartment is associated with a higher de novo prolapse rate in the untreated compartments compared with conventional vaginal native tissue repair in women with recurrent pelvic organ prolapse.Keywords De novo prolapse, mesh, surgery, untreated compartment, vaginal.Please cite this paper as: Withagen M, Milani A, de Leeuw J, Vierhout M. Development of de novo prolapse in untreated vaginal compartments after prolapse repair with and without mesh: a secondary analysis of a randomised controlled trial. BJOG 2012;119:354-360.

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Section: Discussionmentioning

confidence: 96%

Development of de novo prolapse in untreated vaginal compartments after prolapse repair with and without mesh: a secondary analysis of a randomised controlled trial

Withagen

Milani

Leeuw

et al. 2012

BJOG

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“…In their study to assess the role of elastography using ARFI in the diagnosis of solid breast lesions, Tozaki, et al [19] found that the negative predictive value was 100%, as seen for VTQ in our study (Table 3). In another study, Tozaki, et al [20] deduced that the mean shear wave velocity was significantly higher in malignant lesions than in benign lesions (4.49 m/s vs. 2.68 m/s). It was not possible to measure shear wave velocity in 23.5% of the malignant lesions, as seen in our study also.…”

Section: Discussionmentioning

confidence: 99%

Acoustic Radiation Force Impulse Imaging in Benign and Malignant Breast Lesions

Jayaraman

Indiran

Kannan

et al. 2017

Cureus

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BackgroundElastography is a promising way to assess tissue differences regarding stiffness or elasticity, which has been historically assessed manually by palpation. Combined with conventional imaging modalities, shear wave elastography can potentially evaluate the stiffness of a breast lesion and consequently help detect malignant breast tumor from benign ones. The aim of this study was to evaluate the diagnostic role of shear wave elastography in breast lesions in the Indian population.Material and methodsFifty patients presenting with breast lesions were included in the study. All the patients were subjected to B-mode ultrasound and elastography using shear wave with Virtual Touch Imaging (VTITM) (Siemens Medical Solutions USA, Inc., PA, USA) and Virtual Touch Quantification (VTQTM) (Siemens Medical Solutions USA, Inc., PA, USA) and the obtained data was analyzed using an appropriate statistical test (independent samples t-test).ResultsIn our study group of 50 patients, 34 were benign and 16 were malignant. VTITM showed a sensitivity of 97% and a specificity of 93% with a positive predictive value (PPV) of 97% for benign lesions. VTITM showed a sensitivity of 87.5 % and a specificity of 100% with a PPV of 100% for malignant lesions. VTQTM showed a sensitivity of 71.4% and a specificity of 100% with a PPV of 100% for benign lesions. VTQTM showed a sensitivity of 100% and a specificity of 100% with a PPV of 76.6% for malignant lesions.ConclusionsVTITM was more reliable as a diagnostic tool compared to VTQTM in benign lesions and both are equally reliable in identifying malignant lesions. Acoustic radiation force impulse (ARFI) plays a significant role as an adjuvant diagnostic tool to B-mode imaging for assessing breast lesions.

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“…p group Student's t test for laparoscopic ventral mesh rectopexy (LVMR) and robotassisted ventral mesh rectopexy (RVMR). p time Student's t test for pre-to postoperative change for all patients Anatomical restoration has been evaluated by POP-Q and dynamic MRI after both anterior and posterior vaginal polypropylene meshes and recently also after sacral colpopexy [20,[22][23][24][25]. Siegmann et al reported in their series of 15 patients (9 anterior, 6 posterior meshes) 3 months after surgery up to 80 % of patients presenting newly developed or increased prolapse, mostly in the untreated pelvic floor compartment, although this did not correspond to symptoms [24].…”

Section: Discussionmentioning

confidence: 99%

Anatomical and functional changes to the pelvic floor after robotic versus laparoscopic ventral rectopexy: a randomised study

et al. 2016

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Dynamic magnetic resonance imaging for assessment of minimally invasive pelvic floor reconstruction with polypropylene implant

Cited by 21 publications

References 20 publications

Development of de novo prolapse in untreated vaginal compartments after prolapse repair with and without mesh: a secondary analysis of a randomised controlled trial

Development of de novo prolapse in untreated vaginal compartments after prolapse repair with and without mesh: a secondary analysis of a randomised controlled trial

Acoustic Radiation Force Impulse Imaging in Benign and Malignant Breast Lesions

Anatomical and functional changes to the pelvic floor after robotic versus laparoscopic ventral rectopexy: a randomised study

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