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International Urogynecology Journal

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01-04-2012 | IUGA Grafts Roundtable 2010

Informed surgical consent for a mesh/graft-augmented vaginal repair of pelvic organ prolapse

Consensus of the 2nd IUGA Grafts Roundtable: Optimizing Safety and Appropriateness of Graft Use in Transvaginal Pelvic Reconstructive Surgery

Authors: Dennis Miller, Alfredo L. Milani, Suzette E. Sutherland, Bonnie Navin, Rebecca G. Rogers

Published in: International Urogynecology Journal | Special Issue 1/2012

Abstract

Introduction and hypothesis

Complex issues surround informed surgical consent for pelvic reconstructive surgery.

Methods

Vaginally placed mesh/grafts are used with the intent to increase durability of the repair but potentially introduce unique complications, offering new challenges in informed surgical consent counseling.

Results

Informed consent is a process that takes place throughout the entire consultation with the patient. A written document often accompanies that process. This paper outlines necessary components of informed surgical consent and the theory behind each component.

Conclusions

We explore elements that should be included in the consent process with regard to expected benefits, alternatives, and material risks that are specific to the use of a mesh/graft-augmented vaginal repair of prolapse. Included is an appendix that may serve as a template for the creation of a surgeon’s own written informed consent document.

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Title: Informed surgical consent for a mesh/graft-augmented vaginal repair of pelvic organ prolapse
Consensus of the 2nd IUGA Grafts Roundtable: Optimizing Safety and Appropriateness of Graft Use in Transvaginal Pelvic Reconstructive Surgery
Authors: Dennis Miller
Alfredo L. Milani
Suzette E. Sutherland
Bonnie Navin
Rebecca G. Rogers
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue Special Issue 1/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1680-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Informed surgical consent for a mesh/graft-augmented vaginal repair of pelvic organ prolapse

Consensus of the 2nd IUGA Grafts Roundtable: Optimizing Safety and Appropriateness of Graft Use in Transvaginal Pelvic Reconstructive Surgery

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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Credentialing for transvaginal mesh placement—a case for “added qualification” in competency

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Selection of patients in whom vaginal graft use may be appropriate

Optimizing Safety and Appropriateness of Graft Use in Pelvic Reconstructive Surgery: the 2nd IUGA Grafts Roundtable

Optimizing Safety and Appropriateness of Graft Use in Pelvic Reconstructive Surgery: Introduction to the 2nd IUGA Grafts Roundtable