A clinical study on the trocar-guided mesh repair system for pelvic organ prolapse surgery.
10.5468/ogs.2016.59.3.208
- Author:
Seul Gi BAK
1
;
Jeong Beom MOON
;
Sang Ki HONG
;
Kyoung Jin KIM
;
Kyoung A KIM
;
Ju Hyang LEE
Author Information
1. Department of Obstetrics and Gynecology, Presbyterian Medical Center, Jeonju, Korea. seongsu69@hanmail.net
- Publication Type:Original Article
- Keywords:
Complications;
Pelvic organ prolapse;
Recurrence;
Surgical mesh
- MeSH:
Female;
Follow-Up Studies;
Humans;
Intraoperative Complications;
Korea;
Medical Records;
Pelvic Organ Prolapse*;
Pelvic Pain;
Postoperative Complications;
Prolapse;
Protestantism;
Recurrence;
Retrospective Studies;
Surgical Mesh;
Urinary Bladder
- From:Obstetrics & Gynecology Science
2016;59(3):208-213
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To evaluate the complication and recurrence rates in patients undergoing trocar-guided mesh implant for pelvic organ prolapse (POP) treatment. METHODS: A retrospective study was performed based on the medical records of patients who had undergone mesh implant by one surgeon from May 2006 to August 2013 at the Presbyterian Medical Center in Korea. We evaluated perioperative complications such as bladder injury, mesh exposure, urinary symptoms, infections, and chronic pelvic pain. Recurrence was defined as a POP-quantification system stage ≥II or any symptomatic prolapse. RESULTS: Sixty-seven patients were evaluated, and the mean age of patients was 65.4±7.2 years. Stage ≥III POP-quantification Ba was noted in 61 patients (91%). Intraoperative complications included three cases of bladder injury (4.5%). The mean follow-up period was 44.1±7.9 months. Postoperative complications occurred in seven women (10.5%): four cases of urinary symptoms (6%), two cases of infections (3%), and one case of chronic pelvic pain (1.5%). Mesh exposure did not occur (0%). Prolapse recurrence was reported in five patients (7.5%). CONCLUSION: Based on our operational result, the trocar-guided mesh implant seems to provide safe and effective outcomes.
