Julie Quemener1, Nicolas Joutel2, Jean-Philippe Lucot2, Géraldine Giraudet2, Pierre Collinet2, Chrystèle Rubod2, Michel Cosson2. 1. Department of Gynaecologic Surgery, Hôpital Jeanne de Flandres, Centre Hospitalier Régional Universitaire de Lille, Avenue Eugène Avinée, 59037 Lille, France. Electronic address: quemenerjulie@yahoo.fr. 2. Department of Gynaecologic Surgery, Hôpital Jeanne de Flandres, Centre Hospitalier Régional Universitaire de Lille, Avenue Eugène Avinée, 59037 Lille, France.
Abstract
OBJECTIVE: To report our experience regarding the use of partially absorbable mesh, evaluating the nature and rate of re-intervention after transvaginal pelvic organ prolapse repair. MATERIALS AND METHODS: We retrospectively collected data on 269 consecutive patients who underwent partially absorbable mesh repair between January 2009 and January 2011. Data were obtained from our hospital medical records and we phoned patients to check if they had surgery in another hospital since then. RESULTS: 250 patients were included, with a median follow-up duration of 20 months (range 8-34 months). The global rate of re-interventions was 8%. The main indications were mesh exposure (2%), prolapse recurrence (1.2%), and urinary complications such as de novo stress urinary incontinence (4.8%). Afterwards, we compared these data with those previously obtained in our centre with non-absorbable mesh. CONCLUSION: Our study shows that the use of a partially absorbable mesh is efficient and reliable with relatively low rates of re-intervention. According to the available literature data, a partially absorbable mesh does not seem to give advantages in comparison with classic non-absorbable mesh regarding rates of re-intervention.
OBJECTIVE: To report our experience regarding the use of partially absorbable mesh, evaluating the nature and rate of re-intervention after transvaginal pelvic organ prolapse repair. MATERIALS AND METHODS: We retrospectively collected data on 269 consecutive patients who underwent partially absorbable mesh repair between January 2009 and January 2011. Data were obtained from our hospital medical records and we phoned patients to check if they had surgery in another hospital since then. RESULTS: 250 patients were included, with a median follow-up duration of 20 months (range 8-34 months). The global rate of re-interventions was 8%. The main indications were mesh exposure (2%), prolapse recurrence (1.2%), and urinary complications such as de novo stress urinary incontinence (4.8%). Afterwards, we compared these data with those previously obtained in our centre with non-absorbable mesh. CONCLUSION: Our study shows that the use of a partially absorbable mesh is efficient and reliable with relatively low rates of re-intervention. According to the available literature data, a partially absorbable mesh does not seem to give advantages in comparison with classic non-absorbable mesh regarding rates of re-intervention.
Authors: Sophie Warembourg; Majd Labaki; Renaud de Tayrac; Pierre Costa; Brigitte Fatton Journal: Int Urogynecol J Date: 2017-02-01 Impact factor: 2.894