Reparación del prolapso urogenital con malla de polipropileno.
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| Title: | Reparación del prolapso urogenital con malla de polipropileno. |
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| Alternate Title: | Urogenital prolapse repair using polypropylene mesh. Réparation du prolapsus urogénital avec maille en polypropylène. Reparação de prolapso urogenital com malha de polipropileno. |
| Authors: | Zapardiel Gutiérrez, Ignacio1 ignaciozapardiel@hotmail.com, de la Fuente Valero, Jesús1, Iniesta Pérez, Silvia1, Botija Botija, Joaquín1, Pérez Medina, Tirso1, Manuel Bajo Arenas, José1 |
| Source: | Ginecología y Obstetricia de México. jun2008, Vol. 76 Issue 6, p307-312. 6p. 3 Color Photographs, 4 Charts. |
| Subjects: | UTERINE prolapse, POLYPROPYLENE, HYSTERECTOMY complications, OPERATIVE surgery, URINATION disorders, GENITOURINARY organs, PATIENTS |
| Abstract (English): | Background: Urogenital prolapse is a condition that affects 1 to 43% of post-hysterectomized patients. Since several years some synthetic meshes have been used to repair pelvic floor, and apparently they have advantages over them predecessors. Objective: To evaluate the efficacy and security of polypropylene meshes in the repair of urogenital prolapse. Material and method: Retrospective and non-randomized study in 106 patients that had different kinds of urogenital prolapse repaired using polypropylene meshes. The follow-up was carried out by two visits to the hospital, 2 and 6 months after surgery. The variables analyzed were age, parity, menopause presence, kind of surgical technique, surgical time, time at hospital and complications. Afterwards, the information was analyzed descriptively. Results: Average age was 64.4 years. The rate of multiparity and menopause women was 91.51% and 92.45% respectively. The most used surgical technique was the anterior mesh with tension-free band (34,90%) to repair the associated urinary incontinence. The rate of intraoperatory complications was 2.8%, immediate complications was 37.7% and late complications was 21.6%. The success rate after 6 months was 80 to 100%, depending on the technique. Conclusions: There is a low rate of intraoperatory and medium-term complications in the reconstructive surgery of pelvic floor for the urogenital prolapses using polypropylene meshes, which makes this technique a secure and effective option for the treatment of this problem. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Antecedentes: el prolapso urogenital es un padecimiento que se estima afecta de 1 a 43% de las pacientes poshisterectomizadas. Desde hace varios años existen unas mallas sintéticas para la reparación del piso pélvico, que al parecer tienen grandes ventajas frente a sus predecesoras. Objetivo: evaluar la eficacia e inocuidad de las mallas de polipropileno en la corrección del prolapso urogenital. Material y método: estudio retrospectivo, sin asignación al azar, efectuado en 106 pacientes a quienes se les corrigieron diferentes tipos de prolapso urogenital con una malla de polipropileno. El seguimiento se realizó en la consulta externa a los dos y seis meses. Se analizaron: edad, paridad, menopausia, tipo de intervención, tiempos quirúrgicos y de hospitalización y complicaciones. Se efectuó un análisis descriptivo de los datos. Resultados: la edad media de las pacientes fue 64.4 años. De las 106 pacientes, 97 (91.5%) eran multíparas y 98 (92.45%) posmenopáusicas. El tipo de intervención más practicado fue la colocación de una malla anterior con banda libre de tensión para la corrección de la incontinencia urinaria asociada (34.9%). La tasa global de complicaciones intraoperatorias fue de 2.8%, inmediatas 37.7% y tardías 21.7%. La tasa de éxito del procedimiento a los seis meses fue de 80 a 100%, según el tipo de intervención. Conclusiones: la tasa de complicaciones intraoperatorias y a mediano plazo es baja en las operaciones de reparación con malla de polipropileno del piso pélvico de prolapsos urogenitales. Por ello, este método se considera una opción eficaz e inocua para el tratamiento del prolapso urogenital. [ABSTRACT FROM AUTHOR] |
| Abstract (French): | Antécédents: le prolapsus urogénital est une souffrance qu'on estime touchant 1 à 43% des patientes post-hystérectomisées. Depuis plusieurs années il existe des mailles synthétiques pour la réparation du plancher pelvien qui, apparemment, ont de grands avantages face à leurs prédécesseurs. Objectif: évaluer l'efficacité et innocuité des mailles en polypropylène dans la correction du prolapsus urogénital. Matériel et méthode: étude rétrospective, sans assignation au hasard, effectuée auprès de 106 patientes à qui on a corrigé différents types de prolapsus urogénital avec maille en polypropylène. Le suivi a été réalisé en consultation externe dans le deuxième et sixième mois. On a analysé: âge, parité, ménopause, type d'intervention, temps chirurgicaux et d'hospitalisation et complications. On a effectué une analyse descriptive des données. Résultats: la moyenne d'âge des patientes a été de 64.4 ans. Des 106 patientes, 97 (91.5%) étaient multipares et 98 (92.45%) postménopausiques. Le type d'intervention le plus pratiqué a été la mise en place d'une maille antérieure avec bande libre de tension pour la correction de l'incontinence urinaire associée (34.9%). Le taux global de complications intra-opératoires a été de 2.8%, immédiates 37.7% et tardives 21.7%. Le taux de réussite du procédé dans les six mois a été de 80 à 100%, selon le type d'intervention. Conclusions: le taux de complications intra-opératoires et à délai moyen est faible dans les chirurgies de réparation avec maille de polypropylène du plancher pelvien de prolapsus urogénitaux. Pour cela, cette méthode est considérée un choix effectif et inoffensif pour le traitement du prolapsus urogénital. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Antecedentes: O prolapso urogenital e um padecimento que afeta 1 a 43% das pacientes pós-histerectomizadas. Há muitos anos existem umas malhas sintéticas para a reparação do assoalho pélvico, que ao parecer têm grandes vantagens frente a seus antecessores. Objetivo: Avaliar a eficácia e inocuidade das malhas de polipropileno na correção do prolapso urogenital. Material e métodos: Estudo retrospectivo, feito em 106 pacientes o qual foram tratados diferentes tipos de prolapso urogenital com uma malha de polipropileno. Em seguida foi realizada consulta externa aos dois e seis meses. Foram analisados: idade, paridade, menopausa, tipo de intervenção, tempos cirúrgicos e de hospitalização, e complicações. Efetuou-se uma analise descritiva dos dados. Resultados: A idade média das pacientes foi de 64,4 anos. Das 106 pacientes, 97 (91,5%) eram multíparas e 98 (92,45%) pós-menopaúsicas. O tipo de intervenção mais usado foi a colocação de uma malha anterior com banda livre de tensão para a correção da incontinência urinária associada (34,9%). A taxa global de complicações intra-operatória foi de 2,8% imediatas 37,7% e tardias 21,7%. A taxa de êxito do procedimento aos seis meses foi de 80 a 100%, segundo o tipo de intervenção. Conclusões: A taxa de complicações intra-operatórias e a médio prazo, é baixa nas cirurgias de reparação com malha de polipropileno do assoalho pélvico de prolapsos urogenitais. Por ele, este método é considerado uma opção eficaz e inócua para o tratamento do prolapso urogenital. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Background: Urogenital prolapse is a condition that affects 1 to 43% of post-hysterectomized patients. Since several years some synthetic meshes have been used to repair pelvic floor, and apparently they have advantages over them predecessors. Objective: To evaluate the efficacy and security of polypropylene meshes in the repair of urogenital prolapse. Material and method: Retrospective and non-randomized study in 106 patients that had different kinds of urogenital prolapse repaired using polypropylene meshes. The follow-up was carried out by two visits to the hospital, 2 and 6 months after surgery. The variables analyzed were age, parity, menopause presence, kind of surgical technique, surgical time, time at hospital and complications. Afterwards, the information was analyzed descriptively. Results: Average age was 64.4 years. The rate of multiparity and menopause women was 91.51% and 92.45% respectively. The most used surgical technique was the anterior mesh with tension-free band (34,90%) to repair the associated urinary incontinence. The rate of intraoperatory complications was 2.8%, immediate complications was 37.7% and late complications was 21.6%. The success rate after 6 months was 80 to 100%, depending on the technique. Conclusions: There is a low rate of intraoperatory and medium-term complications in the reconstructive surgery of pelvic floor for the urogenital prolapses using polypropylene meshes, which makes this technique a secure and effective option for the treatment of this problem. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 03009041 |
