Major Venous Hemorrhagic Complication During Transvaginal Cystocele Repair Using the Transobturator Approach

Touboul, Cyril; Nizard, J.; Fauconnier, Arnaud; Bader, G.

doi:10.1097/01.aog.0000278098.85173.61

Cited by 21 publications

(15 citation statements)

References 6 publications

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“…Major hemorrhagic complications may arise from the Retzius space or the laceration of the external iliac or obturator vessels. There is one case report involving major venous bleeding during a trans-obturator anterior vaginal wall repair [22]. In that case, a terminal anterior branch of the internal hypogastric vein was revealed to be the origin of the bleeding.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of "Tension-free" Placement of Gynemesh PS for the Treatment of Anterior Vaginal Wall Prolapse

et al. 2010

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Purpose: To evaluate the efficacy and safety of the tension-free placement of a monofilament polypropylene mesh for the repair of an anterior vaginal wall prolapse (AVWP). Materials and Methods: Women aged ≥ 30 years with an AVWP stage of II or greater were included. Forty-nine women underwent trans-vaginal repair using a Gynemesh TM PS. Forty-six women who had symptomatic stress urinary incontinence received a midurethral sling (MUS). At the 12-month follow-up, evaluations were made for changes in the Pelvic Organ Prolapse Quantification (POP-Q) stage and Pelvic Floor Distress Inventory. Cure was defined as a POP-Q stage of 0 and improvement as a stage of I. Complications were also evaluated. Results: The cure rate was 71.4%, and the improvement rate was 18.4%. Obstructive/discomfort, irritative, and stress subscale scores of the Urinary Distress Inventory anterior and posterior subscale scores of the POP Distress Inventory and the obstructive subscale score of the Colo-Rectal-Anal Distress Inventory were significantly improved. Thirty-two of the 46 women (69.6%) who received MUS procedures reported no leakage after surgery. Complications were 2 cases of increased intraoperative bleeding and 1 case of vaginal erosion. Conclusions: Trans-vaginal repair using a Gynemesh TM PS is a feasible and effective procedure for the treatment of AVWP with no significant complications.

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Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of "Tension-free" Placement of Gynemesh PS for the Treatment of Anterior Vaginal Wall Prolapse

et al. 2010

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“…Severe complications were seen with trocars, but they remain exceptional [65]. The complication rate in studies with or without trocars does not seem very different: they most often happened during dissection.…”

Section: New Trendsmentioning

confidence: 95%

Use of vaginal mesh for pelvic organ prolapse repair: a literature review

et al. 2011

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The use of mesh for pelvic organ prolapse repair through the vaginal route has increased during this last decade. The objective is to improve anatomical results (sacropexy with mesh seeming better than traditional surgery) and keep still the advantage of vaginal route. Numbers of cohort series and randomized control trials have been recently published. These works increase our knowledge of advantages and risks of mesh. It has been shown that the use of mesh to treat cystocoele through vaginal route improves anatomical results when compared to traditional surgery. The rate of complications, especially de novo dyspareunia, remains equivalent between the two techniques.

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“…Même si des complications parfois sévères ont été décrites lors des passages de trocarts, celles-ci restent exceptionnelles [61]. Les taux de complications observées pour les techniques sans passage ne semblent pas différents des techniques avec trocarts, l'immense majorité des complications survenant au cours des dissections.…”

Section: Nouveautésunclassified

Place du matériel prothétique dans le traitement du prolapsus par voie vaginale

Lucot

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Giraudet

et al. 2011

Gynécologie Obstétrique & Fertilité

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Major Venous Hemorrhagic Complication During Transvaginal Cystocele Repair Using the Transobturator Approach

Abstract: Although the transobturator technique is considered minimally invasive surgery, morbidity can be severe and require specific management.

Cited by 21 publications

References 6 publications

Efficacy and Safety of "Tension-free" Placement of Gynemesh PS for the Treatment of Anterior Vaginal Wall Prolapse

Efficacy and Safety of "Tension-free" Placement of Gynemesh PS for the Treatment of Anterior Vaginal Wall Prolapse

Use of vaginal mesh for pelvic organ prolapse repair: a literature review

Place du matériel prothétique dans le traitement du prolapsus par voie vaginale

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