Transvaginal PVDF-mesh for cystocele repair A cohort study /

Introduction Optimized biocompatibility of new materials is a major requirement for transvaginal meshes for pelvic organ prolapse (POP) repair. Polyvinylidene fluoride (PVDF) presented good characteristics in prior animal experiments and clinical use in humans. Methods Between 01/2012 and 04/2016 37...

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Elmentve itt :
Bibliográfiai részletek
Szerzők: Barski Dimitri
Arndt Christian
Gerullis Holger
Yang Jin
Boros Mihály
Otto Thomas
Kolberg Hans-Christian
Dokumentumtípus: Cikk
Megjelent: Elsevier 2017
Sorozat:INTERNATIONAL JOURNAL OF SURGERY 39
doi:10.1016/j.ijsu.2017.02.006

mtmt:3195027
Online Access:http://publicatio.bibl.u-szeged.hu/11732
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520 3 |a Introduction Optimized biocompatibility of new materials is a major requirement for transvaginal meshes for pelvic organ prolapse (POP) repair. Polyvinylidene fluoride (PVDF) presented good characteristics in prior animal experiments and clinical use in humans. Methods Between 01/2012 and 04/2016 37 women underwent transvaginal repair of symptomatic prolapse of the anterior vaginal wall (cystocele) with PVDF-mesh in a single institution. A chart review for recurrence, continence, peri- and early postoperative complications was performed. Referring practitioners were interviewed by telephone and mail. Additionally patient reported outcome and satisfaction were measured by Patient Global Improvement Inventory (PGI-I) scale. Results 34 women were eligible for a mean follow up of 19 months. The functional outcome improved significantly. One symptomatic vault prolapse (2.9%) and two reoperations for incontinence (5.9%) occurred. Two mesh exposures (5.9%) occurred and were treated conservatively. No other severe complications were registered. 87.5% of treated women felt very much better or much better and would undergo the surgery again. A cohort study including development steps in accordance with the IDEAL system is presented. Conclusions For the first time we report on effectivity and safety of transvaginal application of PVDF-mesh in real-life practice. A prospective long-term evaluation in a registry is justified. © 2017 IJS Publishing Group Ltd 
700 0 1 |a Arndt Christian  |e aut 
700 0 1 |a Gerullis Holger  |e aut 
700 0 1 |a Yang Jin  |e aut 
700 0 1 |a Boros Mihály  |e aut 
700 0 1 |a Otto Thomas  |e aut 
700 0 1 |a Kolberg Hans-Christian  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/11732/1/Barski_etal_2017_Int_J_Surg_u.pdf  |z Dokumentum-elérés