Outcome of repeat surgery for genital prolapse using prolift-mesh

Annals of Surgical Innovation and Research

Ibrahim A Yakasai¹  Lawal A Bappa²  Andrew Paterson² 

[1] Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital Kano, Kano, PMB3452, Nigeria

[2] Doncaster Royal Infirmary and Royal Alexandra Hospital, Paisley, United Kingdom

关键词: Urogenital prolapse;    Mesh;    Prolift;   

Others  :  791824
DOI  :  10.1186/1750-1164-7-3

 received in 2012-05-11, accepted in 2012-11-13,  发布年份 2013

【 摘 要 】

Introduction

Urogenital prolapse can have a significant impact on quality of life. The life time risk of requiring surgery for urogenital prolapse is 11%. Prolift mesh has recently been introduced to reduce repeat operation rate and for long-term benefit.

Objective

To evaluate the outcome of the treatment of urogenital prolapse with synthetic mesh.

Methods

A retrospective review of case notes of all women who underwent prolift mesh insertion for prolapse between July 2004 and June 2005, at Royal Alexandra Hospital Paisley UK. We looked at the presenting complaints, previous operation, intraoperative complications and complications at six weeks and six months follow-up.

Results

Twenty-two procedures were carried out in the twelve months period. Age of the patients ranged from 55 to 82 years (median 64 yrs). Eleven had anterior Prolift (50%), Seven had posterior Prolift 31.8% and four total Prolift 18%. There were no intraoperative complications. All the patients had previous surgery for prolapse. Eight patients had anterior repair, six patients had posterior repair, and three patients had abdominal hysterectomy. Vaginal hysterectomy was carried out with mesh insertion as a concomitant procedure in seven cases (31.25%). All patients were seen at six weeks and six months after the surgery. Complications rate included mesh erosion one patient and suture material protruding in the vagina one patient, one patient had failed prolift operation. All the twenty-one patients were cured giving 95.4% success rate.

Conclusion

The use of prolene mesh in pelvic reconstructive surgery was associated with good outcome and minimal complications in this study.

【 授权许可】

   
2013 Yakasai et al.; licensee BioMed Central Ltd.

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