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The "Pelvic Harness": a skeletonized mesh implant for safe pelvic floor reconstruction
Natalia, Sumerova; Menahem, Neuman; Haim, Krissi; Dmitri, Pushkar.
  • Natalia, Sumerova; European Medical Center. Moscow. RU
  • Menahem, Neuman; European Medical Center. Moscow. RU
  • Haim, Krissi; European Medical Center. Moscow. RU
  • Dmitri, Pushkar; European Medical Center. Moscow. RU
Int. braz. j. urol ; 42(3): 507-513, tab, graf
Artigo em Inglês | LILACS | ID: lil-785724
ABSTRACT
ABSTRACT Objectives To evaluate the feasibility, safety and surgical results of skeletonized mesh implants to form a pelvic harness for pelvic floor reconstruction surgery. Study design Patients with advanced pelvic floor prolapse were enrolled to this study. Study model was a kit mesh, reduced to 75% of the original surface area by cutting out mesh material from the central mesh body. Patients were evaluated at the end of the 1st and 6th post-operative months and interviewed at the study conclusion. Results Ninety-five women with advanced pelvic floor prolapse had this implant. Mean follow-up duration was 9 months (6-12 months). The POP-Q point’s measurements showed marked and statistically significant improvements. Bladder over-activity symptoms, fecal incontinence, pelvic pain and constipation rates were all reduced as well. No adverse effects related to the dissection or mesh implantation were marked. The first and sixth post-operative month follow-up records as well as the study conclusion interview findings were satisfactory in terms of subjective and objective cure and adverse effects occurrence. Conclusion This study data proposes that skeletonizing meshes might be safely and successfully implanted for potentially improved pelvic floor reconstruction.
Assuntos


Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Telas Cirúrgicas / Diafragma da Pelve / Procedimentos de Cirurgia Plástica / Prolapso de Órgão Pélvico / Distúrbios do Assoalho Pélvico Tipo de estudo: Estudos de avaliação / Estudo observacional / Estudo prognóstico Limite: Adulto / Idoso / Feminino / Humanos Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2016 Tipo de documento: Artigo País de afiliação: Federação Russa Instituição/País de afiliação: European Medical Center/RU

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Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Telas Cirúrgicas / Diafragma da Pelve / Procedimentos de Cirurgia Plástica / Prolapso de Órgão Pélvico / Distúrbios do Assoalho Pélvico Tipo de estudo: Estudos de avaliação / Estudo observacional / Estudo prognóstico Limite: Adulto / Idoso / Feminino / Humanos Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2016 Tipo de documento: Artigo País de afiliação: Federação Russa Instituição/País de afiliação: European Medical Center/RU