Transvaginal pelvic mesh sling-wide clinical effectiveness analysis
10.3760/cma.j.issn.1673-4904.2010.15.004
- VernacularTitle:经阴道全盆底网片悬吊术的临床效果分析
- Author:
Yue QIN
;
Yanhong MAO
- Publication Type:Journal Article
- Keywords:
Pelvic floor;
Uterine prolapse;
Urinary incontinence,stress;
Pelvic floor suspension
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(15):9-11
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical efficacy and complication of using polypropylene net in pelvic floor reconstruction to treat pelvic floor organ prolapsus. Method From October 2007 to May 2008,15 cases of organ prolapsus of many region defect in pelvic cavity were operated pelvic floor reconstruction, 14 cases had three regional defects,and 1 case had two regional defects. Results All the cases were punctured smoothly without hematoma and injury of blood vessel and organs. The time of operation for 15 cases ranged from 60 to 150 minutes,averaged (85.0±4.3) minutes. The amount of bleeding in operations ranged from 150 to 400 ml,averaged (200.0±0.1) ml. Fifteen cases recovered well after operation without infection.The days in hospital were 5-9 days,averaged (6.0±0.7) days. Following up 1-12 months,pelvic floor structure of all patients were normal,and interrelated symptom disappeared or improved. One case was discovered the net was eroded after 5 weeks. Conclusions Pelvic floor suspension by vagina is a micro operation to treat complicated pelvic floor organ prolapsus. It can accomplish pelvic floor reconstruction and reserve uterus simultaneously, healing efficacy is stable in short-term,but need further observation.
