Total Autologous Fascia Lata Anterior and Apical Pelvic Organ Prolapse Repair: A New Technique and Initial Experience

Chaus, Fahad; Funk, Joel; Pangilinan, Jayce; Lin, Fan-ching; Twiss, Christian O.

doi:10.1016/j.urology.2019.12.015

Cited by 12 publications

(9 citation statements)

References 17 publications

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“…In the light of communications published by the United States Food and Drug Administration (U.S. FDA) regarding synthetic meshes, careful attention must be paid to complications such as mesh exposure, dyspareunia, organ perforation and urinary problems. Research on a modified, uterus-preserving pelvic organ prolapse (POP) procedures, fixing the mesh or autologous grafts to the anterior abdominal wall or sacrospinous ligaments and the uterus, are ongoing [4,5]. So far, mesh exposure after LP occurred only in one study [6].…”

mentioning

confidence: 99%

Evisceration of the small intestine through the vagina as a rare complication after laparoscopic pectopexy

Szymczak

Wydra

2021

Ginekol Pol

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confidence: 99%

Evisceration of the small intestine through the vagina as a rare complication after laparoscopic pectopexy

Szymczak

Wydra

2021

Ginekol Pol

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“…Despite the Uphold system and the Perigee system are not available currently. However, some similar commercial kits, self-tailored meshes, and autologous fasciae remain in use for transvaginal POP reconstruction [9][10][11][12][13][14][15][16][17][18][19][20][21]. Thus, our results could provide as a guide for perioperative consultation, even in the era of native tissue repair.…”

Section: Discussionmentioning

confidence: 90%

“…However, some self-tailored vaginal mesh [9][10][11][12] and transvaginal mesh kits, such as Calistar system (Promedon, Argentine [13,14], Surelift system (Neomedic International, Terrassa, Spain [15]), Pelvimesh system (Herniamehs, Italy [16]), and Seratom ® PA system (Seratex ® PA B2 type, Serag-Wiessner KG, Naila, Germany [17]) are still in use. In the era of native tissue repair, autologous rectus fascia or fascia lata are used for transobturator or sacrospinous fixation [18][19][20][21]. Thus, the data of predictors of clinical outcome after transvaginal mesh reconstruction should be important for preoperative consultation.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Clinical Outcome in Women with Pelvic Organ Prolapse Who Underwent Transvaginal Mesh Reconstruction Surgery

Lin

et al. 2022

Medicina

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Background and Objectives: To identify the predictors of clinical outcomes in women with pelvic organ prolapse (POP) who underwent transvaginal reconstruction surgery, especially with transobturator mesh fixation or sacrospinous mesh fixation. Materials and Methods: All women with POP who underwent transvaginal reconstruction surgery, especially with transobturator mesh fixation or sacrospinous mesh fixation, were reviewed. Results: Between January 2011 and May 2019, a total of 206 consecutive women were reviewed, including 68 women receiving POP reconstruction with transobturator mesh fixation and 138 women who underwent POP reconstruction with sacrospinous mesh fixation. The least experienced surgeon (hazard ratio = 804.6) and advanced stage of cystocele (hazard ratio = 8.80) were the predictors of POP recurrence, especially those women with stage 4 of cystocele. Young age (hazard ratio = 0.94) was a predictor for mesh extrusion, especially those women with age ≤67 years. Follow-up interval (odds ratio = 1.03, p = 0.02) was also an independent predictor of mesh extrusion. High maximum flow rate (Qmax, hazard ratio = 1.03) was the sole predictor of postoperative stress urinary incontinence, especially those women with Qmax ≥19.2 mL/s. Preoperative overactive bladder syndrome (hazard ratio = 3.22) were a predictor for postoperative overactive bladder syndrome. In addition, overactive bladder syndrome rate improved after surgery in the sacrospinous group (p = 0.0001). Voiding dysfunction rates improved after surgery in both sacrospinous and transobturator groups. Conclusions: Predictors of clinical outcome in women who underwent transvaginal POP mesh reconstruction are identified. The findings can serve as a guide for preoperative consultation of similar procedures.

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“…There is an increasing body of evidence reporting adverse events related to mesh, including the exposure of vaginal mesh, pain, infection, issues related to urination, neuromuscular injury, vaginal scars or contractures, issues related to sensation, and even death [10] . The U.S. Food and Drug Administration (FDA) issued two successive safety warnings related to the side effects of transvaginal mesh in 2008 and 2012 5] . In August 2012, Johnson & Johnson announced that the prolift pelvic oor repair system had become delisted worldwide and was therefore unavailable.…”

Section: Introductionmentioning

confidence: 99%

A modified technique for paravaginal repair for the treatment of anterior vaginal prolapse and cystocele: a retrospective study

Huang¹,

Lv²,

Li³

et al. 2020

Preprint

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Background We aimed to determine the efficacy and safety of a modified protocol for paravaginal repair for treating symptomatic paravaginal defect cystocele. Methods This study was an observational case series of 98 consecutive female patients, referred to our hospital between June 2014 and May 2018, with symptomatic grade II to IV paravaginal defects and cystocele. Our modified technique for paravaginal repair is based on the conventional protocol but incorporates reverse bridge repair and the cross-stitching of bilateral sutures. The curative effect of this new technique was evaluated subjectively and objectively during postoperative follow-up. Results All operations were successful. Patients were followed up for 12 to 48 months, until June 2019; the mean follow-up period was 32.4 months. Three months after surgery (98 cases), the subjective cure rate was 100%; in each case, the top of the vagina lay above the level of the sciatic spine. The objective cure rate was 100%. The objective cure rate was 94.9% (93 cases) twelve months after surgery (98 cases), 91.0% (61 cases) twenty-four months after surgery (71 cases), and 76.2% (16 cases) forty-eight months after surgery (21 cases). Four cases required a second round of surgery; three of these cases were treated with sacrocolpopexy, and one case was treated with sacrospinous ligament fixation. Conclusion Our modified technique for paravaginal repair was safe and effective for the treatment of anterior vaginal prolapse and cystocele, as confirmed by the results observed over a mean follow-up period of 32.4 months.

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Total Autologous Fascia Lata Anterior and Apical Pelvic Organ Prolapse Repair: A New Technique and Initial Experience

Cited by 12 publications

References 17 publications

Evisceration of the small intestine through the vagina as a rare complication after laparoscopic pectopexy

Evisceration of the small intestine through the vagina as a rare complication after laparoscopic pectopexy

Predictors of Clinical Outcome in Women with Pelvic Organ Prolapse Who Underwent Transvaginal Mesh Reconstruction Surgery

A modified technique for paravaginal repair for the treatment of anterior vaginal prolapse and cystocele: a retrospective study

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