Mesh-associated complications in the correction of pelvic organ prolapse and stress urinary incontinence

Erema, Veronika V.; Buyanova, S. N.; Mgeliashvili, M. V.; Petrakova, S. A.; Puchkova, N.V.; Yudina, N. V.; Glebov, T.A.

doi:10.17116/rosakush20212103174

Cited by 4 publications

(1 citation statement)

References 19 publications

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“…На заре своего применения сетчатые импланты пользовались широкой популярностью у хирургов, так как частота рецидивов заметно снизилась, пациентки стали более удовлетворены хирургическим лечением. Но использование сетчатых полипропиленовых трансплантатов привело к так называемым имплант-ассоциированным осложнениям, к которым относятся боль, эрозия стенки влагалища (ЭСВ), деформация в области установки сетчатого протеза; данные осложнения стали составлять до 10 % от всех операций [5][6][7]. Все это заставило серьезно пересмотреть тактику лечения таких пациенток и частично вернуться к бессетчатой хирургии малого таза.…”

Section: клинический случайunclassified

Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case

Berg,

Musin,

Yаshchuk

et al. 2023

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. Pelvic organ prolapse is increasingly spreading around the world. Therefore, surgical interventions in this pathology are becoming more frequent. Non-mesh surgery for pelvic organ prolapse is reported to have a higher incidence of disease recurrence, and polypropylene mesh implants appear to cause implant-associated complications, thereby limiting their application in clinical practice. Materials and methods. When a patient with an apical prolapse and high risk of postoperative complications sought medical care in the Clinic, the specialists decided to perform promontofixation using a titanium mesh implant. Results and discussion. The present paper describes a clinical case of surgical treatment of genital prolapse using a titanium mesh implant. Since the patient who was admitted for surgical treatment had a family history of genital prolapse, an application of non-mesh technologies implied a high probability of genital prolapse recurrence, as well as a high risk of the vaginal erosion after surgery. Therefore, a promontofixation was performed using a titanium mesh implant, and the 6-month follow-up period showed no postoperative complications. Conclusion. Analysis of postoperative complications demonstrated a considerable potential of using titanium mesh implants for the prevention of implant-associated complications.

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Section: клинический случайunclassified