Transvaginal mesh repair of the anterior and posterior compartments

The objective of the study is to determine and assess the efficacy and safety of a new technique using a polypropylene mesh [allograft] as an overlap graft for repair of anterior and posterior vaginal wall due to endopelvic fascia defect namely, vesicovaginal and rectovaginal fascia with and without urinary stress incontinence. Pelvic prolapse occurs in more than 20% of Libyan women. 50 patients with vaginal wall prolapse operated in Zawia teaching hospital, Elzahra general hospital, El-Zahrawy clinic and some other hospitals over 4 years [July 2003-June 2007] using polypropylene mesh. 16% with cystocele, 10% with rectocele, combined cystorectocele in 34% and remaining [40%] with other vaginal operations, 94% were above 50 years old. Success rate using Mesh is more than 95%,with very complications. Mesh simplifies the operation, reduces operation time, improves operation quality and reduces recurrence rate

TVT-implantation for the treatment of female Stress Urinary Incontinence; Background and experience

In the last 10 years the management of female stress urinary incontinence [SUI] showed a lot of changes with a dramatic revolution in the type, route and technique of the operations with different success rates, Department of Obstetric and Gynaecology, Uppsala university hospital - Sweden - introduced a new theory and management of female SUI; Tension, free Vaginal Tape implantation. A minimal invasive operation under local anaesthesia with or without hospitalization. Better prognosis, with recovery rate more than 90% compared to old operation techniques. Some intra- and post-operative complications were noted. Since 1998 TVT- implantation was in many hospitals the main vaginal technique for the treatment of female stress urinary incontinence where new methods were introduced like Monarc-operation and Intra-vaginal sling with its modification

Misgav Ladach Caesarean Section; Experience in four different Libyan hospitals

In the last few years, the rate of caesarean section is increased due to the use of new investigation and Foetal monitoring methods in addition to the request of the patients. Many gynaecological operations are replaced today with alternative medical or surgical methods [e.g. GnRH analogs and Laparoscopy]. Caesarean section have no alternative, but we try to improve it, make it safer, easier, faster, simpler and more efficient by using a method that cause less damage to the tissues. Many studies on new operative techniques were tried; Misgav Ladach Caesarean section is one of these methods, since more than 7 years is widely used in USA and Europe. Zawia teaching hospitals is one of the hospitals in Jamahiriya using this method