A Novel Operative Procedure for Pelvic Organ Prolapse Utilizing a MRI-Visible Mesh Implant: Safety and Outcome of Modified Laparoscopic Bilateral Sacropexy
Joint Authors
Barski, Dimitri
Joukhadar, Ralf
Meyberg-Solomayer, Gabriele
Hamza, Amr
Bader, Werner
Ismaeel, Fakher
Schneider, Guenther
Baum, Sascha
Erich, Solomayer
Julia, Radosa
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-19
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Introduction.
Sacropexy is a generally applied treatment of prolapse, yet there are known possible complications of it.
An essential need exists for better alloplastic materials.
Methods.
Between April 2013 and June 2014, we performed a modified laparoscopic bilateral sacropexy (MLBS) in 10 patients using a MRI-visible PVDF mesh implant.
Selected patients had prolapse POP-Q stages II-III and concomitant OAB.
We studied surgery-related morbidity, anatomical and functional outcome, and mesh-visibility in MRI.
Mean follow-up was 7.4 months.
Results.
Concomitant colporrhaphy was conducted in 1/10 patients.
Anatomical success was defined as POP-Q stage 0-I.
Apical success rate was 100% and remained stable.
A recurrent cystocele was seen in 1/10 patients during follow-up without need for intervention.
Out of 6 (6/10) patients with preoperative SUI, 5/6 were healed and 1/6 persisted.
De-novo SUI was seen in 1/10 patients.
Complications requiring a relaparoscopy were seen in 2/10 patients.
8/10 patients with OAB were relieved postoperatively.
The first in-human magnetic resonance visualization of a prolapse mesh implant was performed and showed good quality of visualization.
Conclusion.
MLBS is a feasible and safe procedure with favorable anatomical and functional outcome and good concomitant healing rates of SUI and OAB.
Prospective data and larger samples are required.
American Psychological Association (APA)
Joukhadar, Ralf& Meyberg-Solomayer, Gabriele& Hamza, Amr& Julia, Radosa& Bader, Werner& Barski, Dimitri…[et al.]. 2015. A Novel Operative Procedure for Pelvic Organ Prolapse Utilizing a MRI-Visible Mesh Implant: Safety and Outcome of Modified Laparoscopic Bilateral Sacropexy. BioMed Research International،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1057044
Modern Language Association (MLA)
Joukhadar, Ralf…[et al.]. A Novel Operative Procedure for Pelvic Organ Prolapse Utilizing a MRI-Visible Mesh Implant: Safety and Outcome of Modified Laparoscopic Bilateral Sacropexy. BioMed Research International No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1057044
American Medical Association (AMA)
Joukhadar, Ralf& Meyberg-Solomayer, Gabriele& Hamza, Amr& Julia, Radosa& Bader, Werner& Barski, Dimitri…[et al.]. A Novel Operative Procedure for Pelvic Organ Prolapse Utilizing a MRI-Visible Mesh Implant: Safety and Outcome of Modified Laparoscopic Bilateral Sacropexy. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1057044
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1057044