A 52-month follow-up on the transvaginal mesh surgery in vaginal cuff eversion
Objective: Transvaginal mesh anterior–posterior (TVM-AP) provides better cure rates in the surgical treatment of vaginal cuff eversion than anterior transvaginal mesh combined with sacrospinous ligament fixation (TVM-A). We determine the outcomes after TVM-A and TVM-AP surgeries in advanced vaginal...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-06-01
|
| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455917300852 |
| _version_ | 1818317207550033920 |
|---|---|
| author | Tsia-Shu Lo Faridah Mohd Yusoff Chuan-Chi Kao Sukanda Jaili Ma. Clarissa Uy Patrimonio |
| author_facet | Tsia-Shu Lo Faridah Mohd Yusoff Chuan-Chi Kao Sukanda Jaili Ma. Clarissa Uy Patrimonio |
| author_sort | Tsia-Shu Lo |
| collection | DOAJ |
| description | Objective: Transvaginal mesh anterior–posterior (TVM-AP) provides better cure rates in the surgical treatment of vaginal cuff eversion than anterior transvaginal mesh combined with sacrospinous ligament fixation (TVM-A). We determine the outcomes after TVM-A and TVM-AP surgeries in advanced vaginal cuff prolapse.
Materials and methods: The charts of 796 women who underwent pelvic organ prolapse (POP) surgery from July 2006 to January 2012 in Chang Gung Memorial Hospitals were reviewed. We included women who presented with advanced cuff eversion and treated with TVM surgery. Data were analysed after three years post-surgery. Descriptive statistics were used for demographic and perioperative data. The paired-samples t test was used for comparison of preoperative and postoperative continuous data. The outcomes measured were objective cure (POP-Q stage ≤ 1) and subjective cure (negative response to question 2 and 3 on POPDI-6).
Results: A total of 97 patients was analysed. 61 patients had TVM-A and 36 patients had TVM-AP insertion. Mean follow-up was 52 months. The objective cure rate for TVM-AP was significantly higher than TVM-A, 94.4% versus 80.3%. TVM-AP also showed a higher subjective cure rate (91.7%) though there was no significant difference from TVM-A (p = 0.260). The mesh extrusion rate was low at 3.1% with no major complications seen. In TVM-A the blood loss was lesser and the operation time was shorter.
Conclusion: TVM-AP showed better objective cure rate than TVM-A at 52 months. However, TVM-A is less invasive in comparison with an acceptably good cure rates. |
| first_indexed | 2024-12-13T09:33:39Z |
| format | Article |
| id | doaj.art-3cd78c93f96d408b9f920c4f1059537b |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-13T09:33:39Z |
| publishDate | 2017-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-3cd78c93f96d408b9f920c4f1059537b2022-12-21T23:52:26ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592017-06-0156334635210.1016/j.tjog.2017.04.015A 52-month follow-up on the transvaginal mesh surgery in vaginal cuff eversionTsia-Shu Lo0Faridah Mohd Yusoff1Chuan-Chi Kao2Sukanda Jaili3Ma. Clarissa Uy Patrimonio4Department of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan, Republic of ChinaDepartment of Obstetrics and Gynaecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, MalaysiaDepartment of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan, Republic of ChinaDepartment of Obstetrics and Gynaecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, MalaysiaDepartment of Obstetrics and Gynaecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, MalaysiaObjective: Transvaginal mesh anterior–posterior (TVM-AP) provides better cure rates in the surgical treatment of vaginal cuff eversion than anterior transvaginal mesh combined with sacrospinous ligament fixation (TVM-A). We determine the outcomes after TVM-A and TVM-AP surgeries in advanced vaginal cuff prolapse. Materials and methods: The charts of 796 women who underwent pelvic organ prolapse (POP) surgery from July 2006 to January 2012 in Chang Gung Memorial Hospitals were reviewed. We included women who presented with advanced cuff eversion and treated with TVM surgery. Data were analysed after three years post-surgery. Descriptive statistics were used for demographic and perioperative data. The paired-samples t test was used for comparison of preoperative and postoperative continuous data. The outcomes measured were objective cure (POP-Q stage ≤ 1) and subjective cure (negative response to question 2 and 3 on POPDI-6). Results: A total of 97 patients was analysed. 61 patients had TVM-A and 36 patients had TVM-AP insertion. Mean follow-up was 52 months. The objective cure rate for TVM-AP was significantly higher than TVM-A, 94.4% versus 80.3%. TVM-AP also showed a higher subjective cure rate (91.7%) though there was no significant difference from TVM-A (p = 0.260). The mesh extrusion rate was low at 3.1% with no major complications seen. In TVM-A the blood loss was lesser and the operation time was shorter. Conclusion: TVM-AP showed better objective cure rate than TVM-A at 52 months. However, TVM-A is less invasive in comparison with an acceptably good cure rates.http://www.sciencedirect.com/science/article/pii/S1028455917300852Anterior meshCuff eversionCure rateTotal transvaginal mesh |
| spellingShingle | Tsia-Shu Lo Faridah Mohd Yusoff Chuan-Chi Kao Sukanda Jaili Ma. Clarissa Uy Patrimonio A 52-month follow-up on the transvaginal mesh surgery in vaginal cuff eversion Taiwanese Journal of Obstetrics & Gynecology Anterior mesh Cuff eversion Cure rate Total transvaginal mesh |
| title | A 52-month follow-up on the transvaginal mesh surgery in vaginal cuff eversion |
| title_full | A 52-month follow-up on the transvaginal mesh surgery in vaginal cuff eversion |
| title_fullStr | A 52-month follow-up on the transvaginal mesh surgery in vaginal cuff eversion |
| title_full_unstemmed | A 52-month follow-up on the transvaginal mesh surgery in vaginal cuff eversion |
| title_short | A 52-month follow-up on the transvaginal mesh surgery in vaginal cuff eversion |
| title_sort | 52 month follow up on the transvaginal mesh surgery in vaginal cuff eversion |
| topic | Anterior mesh Cuff eversion Cure rate Total transvaginal mesh |
| url | http://www.sciencedirect.com/science/article/pii/S1028455917300852 |
| work_keys_str_mv | AT tsiashulo a52monthfollowuponthetransvaginalmeshsurgeryinvaginalcuffeversion AT faridahmohdyusoff a52monthfollowuponthetransvaginalmeshsurgeryinvaginalcuffeversion AT chuanchikao a52monthfollowuponthetransvaginalmeshsurgeryinvaginalcuffeversion AT sukandajaili a52monthfollowuponthetransvaginalmeshsurgeryinvaginalcuffeversion AT maclarissauypatrimonio a52monthfollowuponthetransvaginalmeshsurgeryinvaginalcuffeversion AT tsiashulo 52monthfollowuponthetransvaginalmeshsurgeryinvaginalcuffeversion AT faridahmohdyusoff 52monthfollowuponthetransvaginalmeshsurgeryinvaginalcuffeversion AT chuanchikao 52monthfollowuponthetransvaginalmeshsurgeryinvaginalcuffeversion AT sukandajaili 52monthfollowuponthetransvaginalmeshsurgeryinvaginalcuffeversion AT maclarissauypatrimonio 52monthfollowuponthetransvaginalmeshsurgeryinvaginalcuffeversion |