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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2015, Number 10

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Ginecol Obstet Mex 2015; 83 (10)

Complications associated with the use of polypropylene mesh in women under colposacropexy

Aguilera-Maldonado LV, Jiménez-Vieyra CR, Solís-Moreno TK
Full text How to cite this article

Language: Spanish
References: 15
Page: 579-586
PDF size: 349.14 Kb.


Key words:

pelvic organ prolapse (prolapso de órgano pélvico), colposacropexy complication.

ABSTRACT

Background: There have been numerous surgical procedures and modified in the hope of obtaining a lasting cure for pelvic organ prolapse. These surgeries were performed using the traditionally native tissues of the patient. In an effort to reduce morbidity, improve surgical outcomes and reduce the complexity of these operations, we used a growing number of synthetic mesh repairs and biomaterials used tissue from cadaver or animal.
Objective: To evaluate the frequency of complications associated with the use of polypropylene mesh in women undergoing colposacropexy. Material and Methods: Retrospective, observational and descriptive study conducted at the Hospitalde Ginecología y Obstetricia 3 IMSS (Mexico) between 1 January 2006 and 15 February 2013. The main risk factors associated with pelvic organ prolapse were considered, comorbidity and complications directly linked to the procedure.
Results: With respect to the related complications colposacropexy procedure using polypropylene mesh were documented in 20 of 67 patients which corresponded to 30%.
Conclusion: A number of complications have been associated with the use of meshes between these include: extrusion, erosion, pelvic pain, dyspareunia, bladder or bowel condition, but one aspect is poorly evaluated sexual dysfunction without to definitely plays an important role in the field bio-psycho-social.


REFERENCES

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  2. Bhavin NP, Lucioni A, Kahtleen CK. Anterior Pelvic Organ Prolapse Repair Using Synthetic Mesh. Curr Urol Rep 2012;13:211-15.

  3. Skoczylas LC, Lane FL. Use of Composite Grafts in Abdominal Sacrocolpopexy. Female Pelvic Med Reconstr Surg 2011;17:40-43.

  4. Jia X, Glazener C, Mowatt G, Jenkinson D, Fraser C, Bain C. Systematic review of the efficacy and safety of using mesh in surgery for uterine or vaginal vault prolapsed. Int Urogynecol J 2010;21:1413-31.

  5. Bacsu C, Zimmen P. Complicaciones del tratamiento de incontinencia urinaria y prolapso de pelvis. Rev Med Clin Condes 2013;24:238-47.

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  7. Snowden SL, Siddihi S. Epidemiología: incontinencia urinaria y fecal y prolapso de órgano pélvico. En: Siddihi S, Hardesty JS. Uroginecología y cirugía pélvica reconstructiva en la mujer. India: Mc Graw-Hill Interamericana 2007;20-26.

  8. Gala RB, Yavagal S, Siddihi S. Tratamiento quirúrgico de prolapso apical y de la pared posterior. En: Siddihi S, Hardesty JS. Uroginecología y cirugía pélvica reconstructiva en la mujer. India: Mc Graw-Hill Interamericana 2007;121-27.

  9. Hardiman PJ, Drutz HP. Sacrospinous vault suspension and abdominal colposacropexy: Success rates and complications. Am J Obstet Gynecol 1996;17:612-16.

  10. Handa VL, Zyczynski HM, Brubaker L. Sexual Function Before and After Sacrocolpopexy for Pelvic Organ Prolapse. Am J Obstet Gynecol 2007;197:629.e1-629.e6

  11. Beloosesky Y, Grinblat J, Dekel A, Rabinerson D. Vertebral osteomyelitis after abdominal colposacropexy. Acta Obstet Gynecol Scand 2002;81:567-68

  12. Antosh DD, Grotzke SA, M Donald MA, Zyczynski HM, NagerCW, Norton PA, et al. Short term outcomes of robotic versus conventional laparoscopic sacral colpopexy. Female Pelvic Med Reconstr Surg 2012;18:158-61.

  13. Brubaker L, Nygaard I, Richter HE, Visco A, Weber A, Cundiff GW, et al. Two-Year Outcomes After Sacrocolpopexy With and Without Burch to Prevent Stress Urinary Incontinence. Obstet Gynecol 2008;112:49-55.

  14. Cundiff G, Varner E, Visco AG, Zyczynski HM, NagerCW, Norton PA, et al. Risk Factors for Mesh/Suture Erosion Following Sacrocolpopexy. Am J Obstet Gynecol 2008;199: 688.e1-688.e5.

  15. Disponible en www.ncbi.nlm.nih.gov/pmc/articles/ PMC2859033




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Ginecol Obstet Mex. 2015;83