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Erschienen in: International Urogynecology Journal 1/2012

01.04.2012 | IUGA Grafts Roundtable 2010

Selection of patients in whom vaginal graft use may be appropriate

Consensus of the 2nd IUGA Grafts Roundtable: Optimizing Safety and Appropriateness of Graft Use in Transvaginal Pelvic Reconstructive Surgery

verfasst von: G. Willy Davila, Kaven Baessler, Michel Cosson, Linda Cardozo

Erschienen in: International Urogynecology Journal | Sonderheft 1/2012

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Abstract

Introduction and hypothesis

The recent rapid and widespread adoption of the use of mesh, and mesh-based surgical kits for pelvic organ prolapse (POP) repair surgery has occurred largely unchecked, and is now being subjected to critical analysis and re-evaluation.

Methods

There have been multiple driving forces for this phenomenon, including aggressive marketing by surgical device manufacturing companies, contagious hype among pelvic surgeons and regulatory processes which facilitated relatively rapid marketing of new devices.

Results

Patient-related factors such as indications for mesh use, expected risks and benefits relative to mesh implantation, and appropriately selected outcome measures have been slow to be defined.

Conclusions

This manuscript reviews the currently available literature in the use of grafts and mesh in POP surgery with a focus on identifying situations where graft use may be appropriate for an individual patient. It also identifies specific clinical situations where mesh use may not be recommended.
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Metadaten
Titel
Selection of patients in whom vaginal graft use may be appropriate
Consensus of the 2nd IUGA Grafts Roundtable: Optimizing Safety and Appropriateness of Graft Use in Transvaginal Pelvic Reconstructive Surgery
verfasst von
G. Willy Davila
Kaven Baessler
Michel Cosson
Linda Cardozo
Publikationsdatum
01.04.2012
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe Sonderheft 1/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-012-1677-3

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