Analysis of mesh related complications after trans-vaginal mesh-augmented pelvic floor reconstruction surgery

VernacularTitle:经阴道网片植入盆底重建术治疗盆腔器官脱垂术后并发症分析
Author: Kun ZHANG ; Jinsong HAN ; Fuli ZHU ; Ying YAO
Publication Type:Journal Article
Keywords: Pelvic organ prolapse; Pelvic floor; Gynecologic surgical procedures; Surgical mesh; Postoperative complications
From: Chinese Journal of Obstetrics and Gynecology 2012;47(9):669-671
CountryChina
Language:Chinese
Abstract: Objective To evaluate the complications after trans-vaginal mesh-augmented pelvic floor reconstruction in treatment of pelvic organ prolapse (POP).MethodsFrom February 2007 to October 2009,vaginal mesh procedures were performed on 91 women with POP stage Ⅲ-Ⅳ in Pekiug University Third Hospital.The operative complications were studied.Results Ninety patients underwent successful surgery among 91 patients.Follow-up rate was 94％ (85/90) at a median follow-up of 28.4 ( 15 -44) months.One patient underwent intraoperative organ injuries,and 10 patients had postoperation mesh-related complications.The rate of mesh-related complications was 2％ ( 2/85 ),2％ ( 2/85 ),4％ ( 3/85 ),4％ ( 3/85 ) on 6,6 - 12,12 -24 and more than 24 months following up,respectively.Seven patients underwent conservative treatment and the symptoms were improved.Three patients underwent the second surgery,and the symptoms were cured or relieved.Conclusion The incidence of mesh-related complications was low,and interventions were effective in vaginal mesh procedure.