지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 133 - 140 (8page)
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Purpose: This study aimed to evaluate the clinical outcomes and complications of transvaginal minimal mesh repair without using commercially available kits for treatment of pelvic organ prolapse (POP). Materials and Methods: This retrospective cohort study involved 91 women who underwent surgical management of POP with originally designed small mesh between July 2014 and August 2015. This mesh is 56% smaller than the mesh widely used in Japan, and it has only two arms delivered into each right and left sacrospinous ligament. The main study outcome was the anatomic cure rate defined as recurrence of POP quantification (POP-Q) stage II or more. We also assessed changes in the overactive bladder symptom score (OABSS) and prolapse quality of life questionnaire (P-QOL) and evaluated adverse events. Finally, we compared patient backgrounds between the patients with and without recurrence. Results: Prolapse recurred in 10 of 91 patients (11.0%), and all patients with recurrence were diagnosed as POP-Q stage II. As adverse events, only mesh erosion occurred in two (2.2%) and pelvic pain in one (1.1%) of the 91 patients. The OABSS and P-QOL were significantly improved by the operation. When we compared patient backgrounds between the patients with and without recurrence, body mass index was the only factor influencing affecting recurrence. Conclusions: Transvaginal minimal mesh repair resulted in successful outcomes with low mesh-related complications and anatomic recurrence at one year. Furthermore, significant improvement in QOL was offered by this procedure. Our minimal mesh technique should be considered as one treatment option for the management of POP.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Rogo-Gupta L / 2012 / Trends in surgical mesh use for pelvic organ prolapse from 2000 to 2010 / Obstet Gynecol 120:1105~1115
Altman D / 2011 / Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse / N Engl J Med 364:1826~1836
Maher C / 2006 / Surgical management of anterior vaginal wall prolapse: an evidencebased literature review / Int Urogynecol J Pelvic Floor Dysfunct 17:195~201
Takeyama M / 2011 / Basic procedures in tension-free vaginal mesh operation for pelvic organ prolapse / Int J Urol 18:555~556
Diwadkar GB / 2009 / Complication and reoperation rates after apical vaginal prolapse surgical repair: a systematic review / Obstet Gynecol 113:367~373
Altman D / 2011 / Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse / N Engl J Med 364:1826~1836
Maher C / 2006 / Surgical management of anterior vaginal wall prolapse: an evidencebased literature review / Int Urogynecol J Pelvic Floor Dysfunct 17:195~201
Takeyama M / 2011 / Basic procedures in tension-free vaginal mesh operation for pelvic organ prolapse / Int J Urol 18:555~556
Diwadkar GB / 2009 / Complication and reoperation rates after apical vaginal prolapse surgical repair: a systematic review / Obstet Gynecol 113:367~373
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