The Use of Tutomesh for a Tension-Free and Tridimensional Repair of Uterovaginal and Vaginal Vault Prolapse: Preliminary Report
Joint Authors
Bernardini, Luca
Dodero, Danilo
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-09-06
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
To evaluate efficacy in terms of vaginal capacity, coital function, and recurrence prevention of a new biological mesh of bovine pericardium (Tutomesh) in the repair of severe POP.
Methods.
Thirty cases of patients suffering from stage III uterine or apical prolapse undergone surgical repair by means of a modified sacrospinous ligament suspension combined with mesh attachment to both the cardinal ligaments, posterior and anterior colporrhaphy, and perineal body fixation.
The mesh was replaced inside the pelvis with the goal of reconstructing the tridimensional fascial disposition of the structures sustaining the correct axis of vagina.
Follow-up was done at 12 months with POPIQ analysis.
Results.
One total mesh failure occurred early after surgery due to marked deficiency of anatomy.
Two cystoceles were observed at 12 months in two patients treated for apical prolapse where anterior repair was not performed.
Two other patients developed a de novo SUI at 12 months.
No reported abnormalities of coital function or dyspareunia were ever found after surgery.
Conclusions.
It is possible that the utilization of a tension-free and tridimensional placement of Tutomesh might favor a more physiologic reconstruction of the vaginal axis as compared with traditional sacrospinous ligament suspension.
American Psychological Association (APA)
Dodero, Danilo& Bernardini, Luca. 2015. The Use of Tutomesh for a Tension-Free and Tridimensional Repair of Uterovaginal and Vaginal Vault Prolapse: Preliminary Report. Surgery Research and Practice،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1076577
Modern Language Association (MLA)
Dodero, Danilo& Bernardini, Luca. The Use of Tutomesh for a Tension-Free and Tridimensional Repair of Uterovaginal and Vaginal Vault Prolapse: Preliminary Report. Surgery Research and Practice No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1076577
American Medical Association (AMA)
Dodero, Danilo& Bernardini, Luca. The Use of Tutomesh for a Tension-Free and Tridimensional Repair of Uterovaginal and Vaginal Vault Prolapse: Preliminary Report. Surgery Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1076577
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1076577