Top

The Journal of Obstetrics and Gynecology of India

Published in:

01-12-2012 | Review Article

Pearls and Pitfalls of Mesh Surgery

Authors: Ajay Rane, Jay Iyer

Published in: The Journal of Obstetrics and Gynecology of India | Issue 6/2012

Abstracts

Objectives

This article attempts to offer balanced insight into the use of transvaginal mesh for pelvic organ prolapse especially in the light of the negative publicity in recent times. The role of transvaginal mesh has been in the limelight for a number of reasons and it is important to address this issue in an objective, fair, and balanced manner. The conventional approach to prolapse surgery has undergone a paradigm shift and the principles of mesh replacement surgery sharply contrast with many traditionally held beliefs. This has created a new set of challenges that has revealed a sharp division of opinion among specialists and sub-specialists alike.

Conclusion

The article is an attempt to explain how mesh surgery can be safely and efficiently performed in carefully selected cases and is based on the combined wisdom of some of the leading surgeons in the sub-specialty today.

Cardozo L, Staskin D. Textbook of female urology and urogynecology. 2nd ed. Abingdon: Informa Healthcare; 2006.

Hampton BS. Pelvic organ prolapse. Med Health R I. 2009;92(1):5–9.PubMed

Kiilholma P, Nieminen K. Gynaecological prolapses. Duodecim. 2009;125(2):199–206.PubMed

Rock JA, Jones HW. Te Linde’s operative gynecology. 10th ed. Philadelphia: Lippincott Williams and Wilkins; 2008.

Kelvin FM, Hale DS, Maglinte DD, et al. Female pelvic organ prolapse: diagnostic contribution of dynamic cystoproctography and comparison with physical examination. Am J Roentgenol. 1999;173:31–7.

Dietz HP, Haylen BT, Broome J. Ultrasound in the quantification of female pelvic organ prolapse. Ultrasound Obstet Gynecol. 2001;18(5):511–4.PubMedCrossRef

Dietz HP, Lekskulchai O. Ultrasound assessment of pelvic organ prolapse: the relationship between prolapse severity and symptoms. Ultrasound Obstet Gynecol. 2007;29:688–91.PubMedCrossRef

Pannu HK. MRI of pelvic organ prolapse. Eur Radiol. 2004;14(8):1456–64.PubMedCrossRef

Barry C, Dietz HP. The use of Ultrasound in the evaluation of Pelvic Organ Prolapse. Rev Gynaecol Perinat Med. 2005;5(3):182–95.CrossRef

10.

Mouritsen L, Hulbaek M, Brostrøm S, et al. Vaginal pressure during daily activities before and after vaginal repair. Int J Urogynecol Pelvic Floor Dysfunct. 2007;18(8):943–8.CrossRef

11.

Kudish BI, Iglesia CB, Sokol RJ, et al. Effect of weight change on natural history of pelvic organ prolapse. Obstet Gynecol. 2009;113(1):81–8.PubMed

12.

Felding C, Mikkelsen AL, Clausen HV, et al. Preoperative treatment with oestradiol in women scheduled for vaginal operation for genital prolapse. A randomised, double-blind trial. Maturitas. 1992;15(3):241–9.PubMedCrossRef

13.

Gallentine ML, Cespedes RD. Occult stress urinary incontinence and the effect of vaginal vault prolapse on abdominal leak point pressures. Urology. 2001;57(1):40–4.PubMedCrossRef

14.

Martan A, Svabík K, Masata J, et al. Correlation between stress urinary incontinence or urgency and anterior compartment defect before and after surgical treatment. Ceska Gynekol. 2010;75(2):118–25.PubMed

15.

Penketh R, Griffiths A, Chawathe S. A prospective observational study of the safety and acceptability of vaginal hysterectomy performed in a 24-hour day case surgery setting. Br J Obstet Gynaecol. 2007;114(4):430–6.CrossRef

16.

Patwardhan S, Arunkalaivanan AS. Urogynaecology: an ambulatory approach. Br J Hosp Med. 2007;68(8):414–7.

17.

Muffly MT, Barber MD. Insertion and removal of vaginal mesh for pelvic organ prolapse. Clin Obstet Gynecol. 2010;53(1):99–114.CrossRef

18.

Brubaker L. Editorial: partner dyspareunia (hispareunia). Int Urogynecol J. 2006;17(4):311.CrossRef

19.

Altman D, Elmér C, Kiilholma P, et al. Sexual dysfunction after trocar-guided transvaginal mesh repair of pelvic organ prolapse. Obstet Gynecol. 2009;113(1):127–33.PubMed

20.

Feiner B, Jelovsek JE, Maher C. Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review. Br J Obstet Gynaecol. 2009;116(1):15–24.CrossRef

21.

Feiner B, Maher C. Vaginal mesh contraction: definition, clinical presentation, and management. Obstet Gynecol. 2010;115(2):325–30.PubMedCrossRef

22.

Davila GW, Drutz H, Deprest J. Clinical implications of the biology of grafts: conclusions of the 2005 IUGA Grafts Roundtable. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(Suppl 1):S51–5.PubMed

23.

Galloway NT. Words of wisdom. Re: the perils of commercially driven surgical innovation. Eur Urol. 2010;58(1):179.PubMedCrossRef

24.

Ostergard DR. Lessons from the past: directions for the future Do new marketed surgical procedures and grafts produce ethical, personal liability, and legal concerns for physicians? Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(6):591–8.PubMedCrossRef

25.

Ostergard DR. Vaginal mesh grafts and the food and drug administration. Int Urogynecol J Pelvic Floor Dysfunct. 2010;21:1181–3.CrossRef

26.

FDA public health notification. 2008 and 2011. Serious Complications Associated with Transvaginal Placement of Surgical Mesh in Repair of Pelvic Organ Prolapse and Stress Urinary Incontinence. http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm262435.htm.

27.

National Institute of Health and Clinical Excellence (UK). Surgical repair of vaginal wall prolapse using mesh (interventional procedures consultation) (2010). http://www.nice.org.uk/guidance/index.jsp?action=article&o=39683.

28.

Moore RD, Miklos JR. Vaginal mesh kits for pelvic organ prolapse, friend or foe: a comprehensive review. Sci World J. 2009;9:163–89.CrossRef

29.

Rane A, Kannan K, Barry C, et al. Prospective study of the Perigee system for the management of cystocoeles–medium-term follow up. Aust N Z J Obstet Gynaecol. 2008;48(4):427–32.PubMedCrossRef

30.

Rane A, Iyer J, Kannan K, et al. Prospective study of the Perigee™ system for treatment of cystocele—our five-year experience. Aust N Z J Obstet Gynaecol. 2012;52(1):28–33.PubMedCrossRef

31.

Alperin M, Moalli PA. Remodeling of vaginal connective tissue in patients with prolapse. Curr Opin Obstet Gynecol. 2006;18(5):544–50.PubMedCrossRef

32.

Cespedes RD. Anterior approach bilateral sacrospinous ligament fixation for vaginal vault prolapse. Urology. 2000;56(6 Suppl 1):70–5.PubMedCrossRef

33.

White AB, Carrick KS, Corton MM, et al. Optimal location and orientation of suture placement in abdominal sacrocolpopexy. Obstet Gynecol. 2009;113(5):1098–103.PubMed

34.

Jacquetin B, Cosson M. Complications of vaginal mesh: our experience. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20:893–6.PubMedCrossRef

35.

Committee on Gynecologic Practice, American College of Obstetricians and Gynecologists. ACOG Committee Opinion No 378: Vaginal “rejuvenation” and cosmetic vaginal procedures. Obstet Gynecol. 2007;110(3):737–8.CrossRef

Title: Pearls and Pitfalls of Mesh Surgery
Authors: Ajay Rane
Jay Iyer
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: The Journal of Obstetrics and Gynecology of India / Issue 6/2012
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI: https://doi.org/10.1007/s13224-012-0333-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Pearls and Pitfalls of Mesh Surgery

Abstracts

Objectives

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstracts

Objectives

Conclusion

Please log in to get access to this content

Other articles of this Issue 6/2012

Episiotomies During Deliveries of Singletons in Cephalic Presentation: The Incidence can be Reduced

Maternal Nutritional Deficiencies and Interventions

Vesical Calculus: An Uncommon Cause of Obstructed Labor

Evaluation of Outcomes Associated with Placement of Elective, Urgent, and Emergency Cerclage

Validation of Tamil Version of Cranley’s 24-Item Maternal–Fetal Attachment Scale in Indian Pregnant Women

Author Index 2012