A Comparison of Different Pelvic Reconstruction Surgeries Using Mesh for Pelvic Organ Prolapse Patients.
10.3349/ymj.2005.46.1.112
- Author:
Sang Wook BAI
1
;
Euy Hyuk KIM
;
Jong Seung SHIN
;
Sei KWANG
;
Ki Hyun PARK
;
Dong Han LEE
Author Information
1. Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea. swbai@yumc. yonsei.ac.kr
- Publication Type:Original Article ; Comparative Study
- Keywords:
Pelvic organ prolapse;
pelvic reconstruction;
mesh
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Comparative Study;
Female;
Humans;
Middle Aged;
Pelvis/surgery;
Reconstructive Surgical Procedures/*methods;
Retrospective Studies;
*Surgical Mesh;
Uterine Prolapse/*surgery;
Visceral Prolapse/*surgery
- From:Yonsei Medical Journal
2005;46(1):112-118
- CountryRepublic of Korea
- Language:English
-
Abstract:
This study was carried out in order to compare the effects in different surgeries using mesh in pelvic organ prolapse patients whose leading points were C. Thirty-nine patients were categorized into 3 groups: group A pelvic reconstruction with hysterectomy; group B hysterectomy prior to pelvic reconstruction; and group C pelvic reconstruction with uterus preserved. At first visit, POP-Q stage was determined, and age, BMI, admission days, operation time, post-operative stage and complications were observed and results were analyzed and compared. All patients who were operated upon converted to stage one month following the operation, and no further change was observed except in one patient. Group admission days were not significantly different, but tended to be lower in group C. Group average operation times between 'group A and B' and 'group A and C' were statistically different. No significant difference was observed in post-operative complications between the groups, but 3 members of group A developed erosion, whereas no erosion occurred in groups B and C. Pelvic reconstruction using mesh is a highly efficient method of treating pelvic organ prolapse. Improvements in stage and post-operative complications were not significantly different in the groups. However, uteropexy showed a shorter operation time, fewer admission days, and less erosion due to mesh than conventional pelvic reconstruction with hysterectomy.
