Prospective study of transobturator mesh kit (Prolift™) in pelvic reconstructive surgery with vaginal hysterectomy after 3 years’ follow-up

Background: Hysterectomy is the most common surgical procedure done worldwide in women. Although many studies were done regarding short term complications, long term complications are not very well followed up. The objective of the study is to analyze short term and also long-term complications for the different mode of hysterectomy.Methods: It was a time-bound hospital-based prospective study which includes all the women who underwent hysterectomy for benign conditions in the hospital except women with prior psychiatric, bowel, bladder and sexual dysfunctions. All the patients were followed up for one year using a set of questionnaires to study short term and long-term complications.Results: No significant difference in short term post-operative complications concerning the mode of hysterectomy except for UTI was more common in vaginal hysterectomy group and haemorrhage in TAH route. Sexual dysfunction was noted even after 1 year of surgery in all modes of hysterectomy. Mild urinary dysfunction found statistically significant even at 1 year follow up in vaginal hysterectomy mode however there was no bothersome urinary dysfunction persistent after one year.Conclusions: Sexual dysfunction is the most common persistent long-term morbidity following hysterectomy found in the present study.

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Assessment of collagen versus non collagen coated anterior vaginal mesh in pelvic reconstructive surgery: prospective study

European Journal of Obstetrics & Gynecology and Reproductive Biology ◽

10.1016/j.ejogrb.2016.01.004 ◽

2016 ◽

Vol 198 ◽

pp. 138-144 ◽

Cited By ~ 8

Author(s):

Tsia-Shu Lo ◽

Eileen Feliz M. Cortes ◽

Pei-Ying Wu ◽

Yiap Loong Tan ◽

Ahlam Al-Kharabsheh ◽

...

Keyword(s):

Prospective Study ◽

Reconstructive Surgery ◽

Vaginal Mesh ◽

Pelvic Reconstructive Surgery ◽

Collagen Versus

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The Learning Curve in Vaginal Pelvic Reconstruction Surgery for Severe Pelvic Organ Prolapse: Analysis of the Cumulative Summation Test (CUSUM)

10.21203/rs.3.rs-939510/v1 ◽

2021 ◽

Author(s):

Chin-Jui Wu ◽

Kuan-Ju Huang ◽

Wen-Chun Chang ◽

Ying-Xuan Li ◽

Lin-Hung Wei ◽

...

Keyword(s):

Pelvic Organ Prolapse ◽

Learning Curve ◽

Reconstructive Surgery ◽

Operation Time ◽

Pelvic Organ ◽

Pelvic Reconstructive Surgery ◽

Surgical Success ◽

Advanced Pelvic Organ Prolapse ◽

Cumulative Summation

Abstract Women who underwent vaginal pelvic reconstructive surgery with or without mesh consecutively between 2004 and 2018 were retrospectively analyzed to determine the learning curve in vaginal pelvic reconstructive surgery. With cumulative summation (CUSUM) analysis of surgical failure and operation time, we assessed the learning curve of vaginal pelvic reconstructive surgery, including sacrospinous ligament fixation, anterior colporrhaphy, posterior colporrhaphy, and optional vaginal hysterectomy with or without mesh placement. Two hundred and sixty-four women with stage III or IV pelvic organ prolapse underwent vaginal pelvic reconstructive surgery by surgeon A or B. The median follow-up time of 44 months ranged from 24 to 120 months. Surgical proficiency was achieved in 32-54 vaginal pelvic reconstructive surgery procedures without mesh and 37-61 procedures in the same surgery with mesh. The surgical success rates for surgeons A and B were 82.2% and 94.1%, with median follow-up times of 60 and 33 months, respectively. The learning phase of vaginal pelvic reconstructive surgery in advanced pelvic organ prolapse in this institutional cohort required 54 and 61 procedures, respectively. A higher number of procedures were required for the learning curve of vaginal pelvic reconstructive surgery with mesh. Having crossed the boundary of proficiency, the surgical success rate and operation time were improved.

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