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

Zhonghua Fu Chan Ke Za Zhi. 2012 Sep;47(9):669-71.
[Article in Chinese]

Abstract

Objective: To evaluate the complications after trans-vaginal mesh-augmented pelvic floor reconstruction in treatment of pelvic organ prolapse (POP).

Methods: From February 2007 to October 2009, vaginal mesh procedures were performed on 91 women with POP stage III-IV in Peking 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.

Publication types

  • English Abstract

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Follow-Up Studies
  • Gynecologic Surgical Procedures / adverse effects*
  • Gynecologic Surgical Procedures / methods
  • Humans
  • Hysterectomy, Vaginal / methods
  • Middle Aged
  • Pain / epidemiology
  • Pelvic Floor / surgery*
  • Pelvic Organ Prolapse / complications
  • Pelvic Organ Prolapse / surgery*
  • Postoperative Complications / epidemiology*
  • Postoperative Complications / therapy
  • Prosthesis Failure
  • Risk Factors
  • Severity of Illness Index
  • Surgical Mesh / adverse effects*
  • Treatment Outcome
  • Urinary Incontinence / etiology
  • Urinary Incontinence / surgery
  • Vagina / surgery*