EVALUATION AND COMPARISON EFFICIENCY OF THE TROCAR AND TROCAR FREE METHODOLOGY OF RECONSTRUCTION OF THE FRONT AND APICAL COMPARTMENTS OF THE PELVIC FLOOR USING SYNTHETIC MESH WITH PELVIC PROLAPSE
Abstract
Pelvic floor reconstruction with vaginal access using synthetic mesh is a common and effective approach to the treatment of pelvic prolapse positive forms. The current stage in the mesh pelvic surgery development is the best-practice implant placement technique emergence - SIMS (single-incision mesh system).
SIMS fundamental differences: mesh system fixing with harpoon elements (anchor) to the most durable connective tissue structures of the pelvis (sacrospinal ligament, obturator membrane); less traumatization due to the absence need to carry out trocars through the pelvic surface tissues.
According to the recent studies (Lukban JC et al., 2012; RD Moore et al., 2012; EJ Stanford et al., 2013), objective efficacy of the Elevate ™ system using during the year with anterior plastic is from 88% to 92%, the apical - from 89% to 96%, back to 93% [1,2,3]. Comparing SIMS with traditional mesh plastic (210 patients, the follow-up period is 1 year): the anatomical efficiency for the anterior part was 98% versus 87% (p = 0.006), for the apical 99% versus 96% (p = 0.317), and for the posterior 100% versus 97% (p = 0.367) [4]. Nevertheless, there are questions about the reliability of harpoon elements fixing and the new operational methodology safety remain.
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References
Lukban J.C., Roovers J.P., Van Drie D.M., Erickson T., Zylstra S., Patel M.P., Moore R.D..Single-incision apical and posterior mesh repair: 1-year prospective outcomes. Int Urogynecol J. 2012; 23: 1413 – 1419.
Stanford E.J., Moore R.D., Roovers J.P., Courtieu C., Lukban J.C., Bataller E., Liedl B., Sutherland S.E. Elevate anterior/apical: 12-month data showing safety and efficacy in surgical treatment of pelvic organ prolapse. Female Pelvic Med Reconstr Surg. 2013; 19(2): 79–83.
Moore R.D., Mitchell G.K., Miklos J.R. Single-incision vaginal approach to treat cystocele and vault prolapse with an anterior wall mesh anchored apically to the sacrospinous ligaments./ Int Urogynecol J . – 2012. – Vol. 23. – P. 85–91.
Su T.H., Lau H.H., HuangW.C., Hsieh C.H., Chang R.C., Su C.H.. Single-incision mesh repair versus traditional native tissue repair for pelvic organ prolapse: results of a cohort study. Int Urogynecol J. – 2014 - DOI 10.1007/s00192-013-2294-5.
Shkarupa D.D., Gorgockii I.A., Yarova N.P., Shkarupa I.A. Prospective study of the pelvic floor surgical reconstruction effectiveness using ultralight mesh endoprostheses "Pelvix". Experimental and clinical urology. 2012; 3: 90-96.
Chen, C.C. Anatomic relationships of the tension-free vaginal mesh trocars./ C.C. Chen, A.M. Gustilo-Ashby, J.E. Jelovsek, M.F.R. Paraiso.// Am J Obstet Gynecol. –2007.– Vol 197(6). – P. 1–6.
Cosson M., Boukerrou M., Lacaze S., Lambaudie E., Fasel J., Mesdagh H., Lobry P., Ego A..A study of pelvic ligament strength.Eur J Obstet Gynecol Reprod Biol– 2003 - 109 P. 80–87.
E. Rapp David, B. King Ashley, Rowe Bruce, P. Wolters Jeff.ComprehensiveEvaluationofAnteriorElevateSystemfortheTreatmentofAnteriorandApicalPelvicFloorDescent: 2-Year Follow-up.The journal of urology. – 2014 - Vol. 191. – P. 389-394.
Huang Kuan-Hui, Huang Li-Yi, Chu Li-Ching, Chuang Fei-Chi, Wu Ming-Ping, Kung Fu-Tsai.Evaluation of the single-incision Elevate system to treat pelvic organ prolapse: follow-up from 15 to 45 months.Int Urogynecol J. – 2015 - DOI 10.1007/s00192-015-2693-x.
TS Lo, YL Tan, EFM Cortes, LB Pue, PY Wu, A. Al-Kharabsheh. Anterior-Apical Single-Incision Mesh Surgery (Sims): Surgical And Functional Outcomes At One-Year.The Journal of Minimally Invasive Gynecology. -2014 - doi: 10.1016/j.jmig.2014.07.002.
Rogowski A., Bienkowski P., Tarwacki D., Szafarowska M., Samochowiec J., Sienkiewicz-Jarosz H., Jerzak M, Baranowski W.Retrospective comparison between the Prolift and Elevateanterior vaginal mesh procedures: 18-month clinical outcome.Int Urogynecol J. – 2015 - DOI 10.1007/s00192-015-2772-z.
McLennan G.P., Sirls L.T., Killinger K.A., Nikolavsky D., Boura J.A., Fische rM.C., Peters K.M.. Perioperative experience of pelvic organ prolapse repair with the Prolift and Elevate vaginal mesh procedures. Int Urogynecol J. – 2012 - DOI 10.1007/s00192-012-1830-z
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