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International Urogynecology Journal

Erschienen in:

01.04.2010 | Original Article

Mesh removal following transvaginal mesh placement: a case series of 104 operations

verfasst von: Naama Marcus-Braun, Peter von Theobald

Erschienen in: International Urogynecology Journal | Ausgabe 4/2010

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Abstract

Introduction and hypothesis

The objective of the study was to reveal the way we treat vaginal mesh complications in a trained referral center.

Methods

This is a retrospective review of all patients who underwent surgical removal of transvaginal mesh for mesh-related complications during a 5-year period.

Results

Eighty-three patients underwent 104 operations including 61 complete mesh removal, 14 partial excision, 15 section of sub-urethral sling, and five laparoscopies. Main indications were erosion, infection, granuloma, incomplete voiding, and pain. Fifty-eight removals occurred more than 2 years after the primary mesh placement. Mean operation time was 21 min, and there were two intraoperative and ten minor postoperative complications. Stress urinary incontinence (SUI) recurred in 38% and cystocele in 19% of patients.

Conclusions

In a trained center, mesh removal was found to be a quick and safe procedure. Mesh-related complications may frequently occur more than 2 years after the primary operation. Recurrence was mostly associated with SUI and less with genital prolapse.

Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B (2007) Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)—a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 18:743–752CrossRefPubMed

Nauth MA, Fünfgeld C (2008) Correction of cystocele and stress incontinence with anterior transobturator mesh. Eur J Obstet Gynecol Reprod Biol 136:249–253CrossRefPubMed

Rane A, Kannan K, Barry C, Balakrishnan S, Lim Y, Corstiaans A (2008) Prospective study of the Perigee system for the management of cystocoeles—medium-term follow up. Aust NZ J Obstet Gynaecol 48:427–432CrossRef

Caquant F, Collinet P, Debodinance P, Berrocal J, Garbin O, Rosenthal C et al (2008) Safety of trans vaginal mesh procedure: retrospective study of 684 patients. J Obstet Gynaecol Res 34:449–456CrossRefPubMed

Sivaslioglu AA, Unlubilgin E, Dolen I (2008) A randomized comparison of polypropylene mesh surgery with site-specific surgery in the treatment of cystocele. Int Urogynecol J Pelvic Floor Dysfunct 19:467–471CrossRefPubMed

Nguyen JN, Burchette RJ (2008) Outcome after anterior vaginal prolapse repair: a randomized controlled trial. Obstet Gynecol 111:891–898PubMed

Collinet P, Belot F, Debodinance P, Ha Duc E, Lucot JP, Cosson M (2006) Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J Pelvic Floor Dysfunct 17:315–320CrossRefPubMed

Mistrangelo E, Mancuso S, Nadalini C, Lijoi D, Costantini S (2007) Rising use of synthetic mesh in transvaginal pelvic reconstructive surgery: a review of the risk of vaginal erosion. J Minim Invasive Gynecol 14:564–569CrossRefPubMed

Bako A, Dhar R (2009) Review of synthetic mesh-related complications in pelvic floor reconstructive surgery. Int Urogynecol J Pelvic Floor Dysfunct 20:103–111CrossRefPubMed

10.

Ridgeway B, Walters MD, Paraiso MF, Barber MD, McAchran SE, Goldman HB et al (2008) Early experience with mesh excision for adverse outcomes after transvaginal mesh placement using prolapse kits. Am J Obstet Gynecol 199(703):e1–e7PubMed

11.

Margulies RU, Lewicky-Gaupp C, Fenner DE, McGuire EJ, Clemens JQ, Delancey JO (2008) Complications requiring reoperation following vaginal mesh kit procedures for prolapse. Am J Obstet Gynecol 199(678):e1–e4PubMed

12.

Hurtado EA, Appell RA (2009) Management of complications arising from transvaginal mesh kit procedures: a tertiary referral center’s experience. Int Urogynecol J Pelvic Floor Dysfunct 20:11–17CrossRefPubMed

13.

FDA Public Health Notification: serious complications associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse and stress urinary incontinence. Issued October 20, 2008 (H:\Ablation of type\papers\FDA alert.htm)

14.

Julian TM (1996) The efficacy of Marlex mesh in the repair of severe, recurrent vaginal prolapse of the anterior midvaginal wall. Am J Obstet Gynecol 175:1472–1475CrossRefPubMed

15.

Whiteside JL, Weber AM, Meyn LA, Walters MD (2004) Risk factors for prolapse recurrence after vaginal repair. Am J Obstet Gynecol 191:1533–1538CrossRefPubMed

16.

Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:81–85. discussion 5–6CrossRefPubMed

17.

Jacquetin B, Cosson M (2009) Current opinion/update: complications of vaginal mesh; our experience. Int Urogynecol J Pelvic Floor Dysfunct 20:893–896CrossRefPubMed

18.

Eboue C, Marcus-Braun N, von Theobald P (2009) Cystocele repair by transobturator four arms mesh: monocentric experience of first 123 patients. Int Urogynecol J Pelvic Floor Dysfunct (in press)

19.

Deffieux X, de Tayrac R, Huel C, Bottero J, Gervaise A, Bonnet K et al (2007) Vaginal mesh erosion after transvaginal repair of cystocele using Gynemesh or Gynemesh-Soft in 138 women: a comparative study. Int Urogynecol J Pelvic Floor Dysfunct 18:73–79CrossRefPubMed

20.

Achtari C, Hiscock R, O'Reilly BA, Schierlitz L, Dwyer PL (2005) Risk factors for mesh erosion after transvaginal surgery using polypropylene (Atrium) or composite polypropylene/polyglactin 910 (Vypro II) mesh. Int Urogynecol J Pelvic Floor Dysfunct 16:389–394CrossRefPubMed

21.

Gauruder-Burmester A, Koutouzidou P, Rohne J, Gronewold M, Tunn R (2007) Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse. Int Urogynecol J Pelvic Floor Dysfunct 18:1059–1064CrossRefPubMed

22.

Boulanger L, Boukerrou M, Rubod C, Collinet P, Fruchard A, Courcol RJ et al (2008) Bacteriological analysis of meshes removed for complications after surgical management of urinary incontinence or pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 19:827–831CrossRefPubMed

23.

Kaupp HA, Matulewicz TJ, Lattimer GL, Kremen JE, Celani VJ (1979) Graft infection or graft reaction? Arch Surg 114:1419–1422PubMed

24.

Birch C, Fynes MM (2002) The role of synthetic and biological prostheses in reconstructive pelvic floor surgery. Curr Opin Obstet Gynecol 14:527–535CrossRefPubMed

25.

Balakrishnan S, Lim YN, Barry C, Corstiaans A, Kannan K, Rane A (2007) Sling distress: a subanalysis of the IVS tapes from the SUSPEND trial. Aust NZ J Obstet Gynaecol 47:496–498CrossRef

26.

Klinge U, Junge K, Spellerberg B, Piroth C, Klosterhalfen B, Schumpelick V (2002) Do multifilament alloplastic meshes increase the infection rate? Analysis of the polymeric surface, the bacteria adherence, and the in vivo consequences in a rat model. J Biomed Mater Res 63:765–771CrossRefPubMed

27.

Novara G, Galfano A, Boscolo-Berto R, Secco S, Cavalleri S, Ficarra V et al (2008) Complication rates of tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials comparing tension-free midurethral tapes to other surgical procedures and different devices. Eur Urol 53:288–308CrossRefPubMed

28.

Morey AF, Medendorp AR, Noller MW, Mora RV, Shandera KC, Foley JP et al (2006) Transobturator versus transabdominal mid urethral slings: a multi-institutional comparison of obstructive voiding complications. J Urol 175:1014–1027CrossRefPubMed

Titel: Mesh removal following transvaginal mesh placement: a case series of 104 operations
verfasst von: Naama Marcus-Braun
Peter von Theobald
Publikationsdatum: 01.04.2010
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 4/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-1050-3

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Mesh removal following transvaginal mesh placement: a case series of 104 operations

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Hochrisiko-Eingriffe für postoperative Übelkeit

Adjuvante Brustkrebstherapie: Doppelt hält besser

Manche Gestagene können das Risiko für Meningeome erhöhen

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Update Gynäkologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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