Current role of mesh in vaginal prolapse surgery. [Review]

MedStar author(s):
Citation: Current Opinion in Obstetrics & Gynecology. 26(5):409-14, 2014 Oct.PMID: 25105562Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology | Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive SurgeryForm of publication: Journal ArticleSubject headings: *Pain, Postoperative/su [Surgery] | *Pelvic Organ Prolapse/su [Surgery] | *Reconstructive Surgical Procedures | *Surgical Mesh/ae [Adverse Effects] | Device Removal | Female | Humans | Pain, Postoperative/et [Etiology] | Practice Guidelines as Topic | Recurrence | Reoperation | Treatment OutcomeYear: 2014Local holdings: Available online from MWHC library: February 1998 - presentISSN:
  • 1040-872X
Name of journal: Current opinion in obstetrics & gynecologyAbstract: PURPOSE OF REVIEW: This report summarizes the latest literature on transvaginal mesh (TVM) for the treatment of pelvic organ prolapse, with a focus on indications for use and management of complications. We describe trends in TVM by reviewing the recent literature and summarizing national meeting presentations.RECENT FINDINGS: Vaginal mesh complications are most often managed surgically, and the majority of patients experiencing mesh-related pain have symptom improvement after intervention. New efforts will focus on identifying variables associated with success after intervention for mesh-related complications, to aid reconstructive pelvic surgeons in outcome prediction and patient counselling.SUMMARY: Although the use of TVM has plateaued in recent years, we are seeing an exponential rise in synthetic mesh implant removal. Reconstructive pelvic surgeons advising patients with TVM complications should report that surgical intervention is often necessary, improvement rates of pain-related symptoms after surgery are high, and up to a third may require multiple interventions.All authors: Carter C, Gutman RE, Richter LAFiscal year: FY2015Digital Object Identifier: Date added to catalog: 2015-06-03
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 25105562 Available 25105562

Available online from MWHC library: February 1998 - present

PURPOSE OF REVIEW: This report summarizes the latest literature on transvaginal mesh (TVM) for the treatment of pelvic organ prolapse, with a focus on indications for use and management of complications. We describe trends in TVM by reviewing the recent literature and summarizing national meeting presentations.

RECENT FINDINGS: Vaginal mesh complications are most often managed surgically, and the majority of patients experiencing mesh-related pain have symptom improvement after intervention. New efforts will focus on identifying variables associated with success after intervention for mesh-related complications, to aid reconstructive pelvic surgeons in outcome prediction and patient counselling.

SUMMARY: Although the use of TVM has plateaued in recent years, we are seeing an exponential rise in synthetic mesh implant removal. Reconstructive pelvic surgeons advising patients with TVM complications should report that surgical intervention is often necessary, improvement rates of pain-related symptoms after surgery are high, and up to a third may require multiple interventions.

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