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Erschienen in:
01.03.2011 | Original Article
Combined anterior trans-obturator mesh and sacrospinous ligament fixation in women with severe prolapse—a case series of 30 months follow-up
Erschienen in: International Urogynecology Journal | Ausgabe 3/2011
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Introduction and hypothesis
To study the efficacy and safety of performing anterior mesh (Perigee) with vaginal reconstructive surgeries (sacrospinous ligament fixation) for treatment of advanced prolapse.
Methods
One hundred twenty-eight patients, POP-Q stage III (n = 85) or IV (n = 43), underwent surgery. The objective cure was defined as less than stage 2 prolapse. Introital ultrasonography was used for mesh morphological evaluation.
Results
Post-operative data were available for 120 patients. At 30 months, the objective cure was 91.8%. The subjective cure was 93.3% on POPDI-6 feedback. No apical and anterior recurrence was observed. Surgical complications were minor. Five cases (4.1%) of mesh extrusion was observed. Mesh shortening, shrinkage, and thickening was also observed.
Conclusion
The combination of anterior vaginal mesh and vaginal reconstructive surgery appears to be a safe and effective in restoring the anatomy and achieving favorable pelvic function. The anterior mesh deployed seems to cover a lesser area than anticipated. A longer period of follow-up is necessary to confirm its efficacy.