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polypropylene mesh complications

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https://www.readbyqxmd.com/read/28218406/randomized-clinical-trial-of-mesh-fixation-with-glue-or-sutures-for-lichtenstein-hernia-repair
#1
C Hoyuela, M Juvany, F Carvajal, A Veres, D Troyano, M Trias, A Martrat, J Ardid, J Obiols, M López-Cano
BACKGROUND: Pain is the most likely reason for delay in resuming normal activities after groin hernia repair. The primary aim of this study was to determine whether the use of glue to fix the mesh instead of sutures reduced acute postoperative pain after inguinal hernia repair. Secondary objectives were to compare postoperative complications, chronic pain and early recurrence rates during 1-year follow-up. METHODS: Some 370 patients who underwent Lichtenstein hernia repair were randomized to receive either glue (Histoacryl®) or non-absorbable polypropylene sutures for fixation of lightweight polypropylene mesh...
February 20, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28216296/cyclodextrin-modified-plla-parietal-reinforcement-implant-with-prolonged-antibacterial-activity
#2
G Vermet, S Degoutin, F Chai, M Maton, C Flores, C Neut, P E Danjou, B Martel, N Blanchemain
: The use of textile meshes in hernia repair is widespread in visceral surgery. Though, mesh infection is a complication that may prolong the patient recovery period and consequently presents an impact on public health economy. Such concern can be avoided thanks to a local and extended antibiotic release on the operative site. In recent developments, poly-L-lactic acid (PLLA) has been used in complement of polyethyleneterephthalate (Dacron(®)) (PET) or polypropylene (PP) yarns in the manufacture of semi-resorbable parietal implants...
February 12, 2017: Acta Biomaterialia
https://www.readbyqxmd.com/read/28213795/thigh-exploration-for-excision-of-a-transobturator-sling
#3
Alana M Murphy, Howard B Goldman
INTRODUCTION AND HYPOTHESIS: Groin pain is a known complication of transobturator mesh placement. The objective of this instructional video is to present the surgical technique used to excise the thigh portion of a sling in a patient with persistent thigh pain after placement of a transobturator sling. METHODS: The featured patient is a 49-year-old woman with a history of bilateral groin pain since undergoing placement of a type one polypropylene transobturator sling...
February 17, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28212482/-using-polypropylene-mesh-in-surgery-for-stress-urinary-incontinence
#4
Erick Arturo Murguía-Flores, Fernando Quintero-Granados, Luis Guillermo Torres-Gómez, Mariela Mariela Chávez-Navarro, Martha Berenice Vázquez-Gómez, Elizabeth Rodríguez-Rodríguez
BACKGROUND: Stress urinary incontinence (SUI) is defined as the involuntary leakage of urine while making an effort, such as coughing, sneezing or during activity. Since SUI generates high costs and affects the quality of life, it is important to make a proper diagnosis and, consequently, manage SUI efficiently. The objective was to know whether it is appropriate to use polypropylene mesh for SUI. METHODS: A historical cohort was conducted by reviewing records of patients with SUI treated with polypropylene mesh during 2013 with a follow-up of 12 months...
2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/28210177/orbital-reconstruction-with-a-partially-absorbable-mesh-monofilament-polypropylene-fibre-and-monofilament-poliglecaprone-25-our-experience-with-34-patients
#5
Moustafa Alkhalil, J Joshi Otero
PURPOSE: To evaluate the effectiveness and complications related to the use of a partially absorbable mesh for the reconstruction of orbital floor fractures. This is a retrospective review of 34 consecutive patients who suffered orbital trauma from August 2007 to March 2013 treated with a partially absorbable mesh for orbital reconstruction. Data collected included gender, age, nationality, cause of injury, date of admission, date of surgery, date of discharge, type of fracture, signs and symptoms such as diplopia, enophthalmos, and sensory disturbance related to the infraorbital nerve, complications before and after surgery, and follow-ups at 1 week, 1 month, 6 months, and after 1 year...
July 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/28124074/mri-visible-fe3o4-polypropylene-mesh-3d-reconstruction-of-spatial-relation-to-bony-pelvis-and-neurovascular-structures
#6
Luyun Chen, Florian Lenz, Céline D Alt, Christof Sohn, John O De Lancey, Kerstin A Brocker
INTRODUCTION AND HYPOTHESIS: To demonstrate mesh magnetic resonance imaging (MRI) visibility in living women, the feasibility of reconstructing the full mesh course in 3D, and to document its spatial relationship to pelvic anatomical structures. METHODS: This is a proof of concept study of three patients from a prospective multi-center trial evaluating women with anterior vaginal mesh repair using a MRI-visible Fe3O4 polypropylene implant for pelvic floor reconstruction...
January 25, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28101639/laparoscopic-hysteropexy-10%C3%A2-years-experience
#7
Helen Jefferis, Natalia Price, Simon Jackson
INTRODUCTION AND HYPOTHESIS: Uterine prolapse is common and has traditionally been treated by vaginal hysterectomy. Increasingly, women are seeking uterine-preserving alternatives. Laparoscopic hysteropexy offers resuspension of the uterus using polypropylene mesh. We report on 10 years' experience with this technique. METHODS: All hysteropexy procedures in our unit since 2006 were reviewed. Primary outcome was safety of hysteropexy, as assessed by intraoperative and major postoperative complications...
January 18, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28057125/-treatment-and-outcome-of-polypropylene-mesh-or-tape-related-pain-after-reconstructive-pelvic-surgery
#8
Y Q Wang, X Yang, J L Wang
Objective: To investigate clinical treatment and outcome of mesh-related pain after pelvic floor reconstruction. Methods: Twelve patients were referred to Peking University People's Hospital for post-operation pain related to polypropylene mesh or tape used in pelvic floor reconstruction and received reoperation from January 2007 to December 2014. The demographic characteristics, clinical manifestation, operation method and follow-up outcome were retrospectively analyzed, and current literature was also reviewed...
December 25, 2016: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/28040255/does-prophylactic-mesh-placement-in-elective-midline-laparotomy-reduce-the-incidence-of-incisional-hernia-a-systematic-review-and-meta-analysis
#9
Zachary M Borab, Sameer Shakir, Michael A Lanni, Michael G Tecce, John MacDonald, William W Hope, John P Fischer
BACKGROUND: Operative intervention to correct incisional hernia affects 150,000 patients annually, with 1 in 3 repairs recurring within 9 years. The aim of this study was to compare the incidence of incisional hernia and postoperative complications in elective midline laparotomy patients after the use of prophylactic mesh placement and primary suture closure. METHODS: A systematic review was performed to identify studies comparing prophylactic mesh placement to primary suture closure in elective, midline laparotomy at index abdominal aponeurosis closure...
December 28, 2016: Surgery
https://www.readbyqxmd.com/read/28018702/laparoscopic-fenestration-of-a-giant-pseudocyst-after-totally-extra-peritoneal-inguinal-hernia-repair
#10
Yu-Ting van Loon, Maaike S Ibelings
A giant pseudocyst is a rare complication after hernioplasty and is seldom seen. The pathophysiology is unclear; it characteristically does not contain epithelial lining and can be considered giant if the diameter exceeds 10 cm. Pseudocysts are mostly described after incisional hernia repairs and are usually treated with surgical resection. We report a case of a giant pseudocyst three years after totally extra peritoneal inguinal hernia repair. Laparoscopic fenestration without removing the pseudocyst with or without removal of the polypropylene mesh is a safe and effective minimal invasive approach to the treatment of a symptomatic pseudocyst and should also be considered in the approach of other large symptomatic cysts...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27994499/adhesion-prevention-efficacy-of-composite-meshes-parietex-%C3%A2-proceed-%C3%A2-and-4dryfield-%C3%A2-ph-covered-polypropylene-meshes-in-an-ipom-rat-model
#11
Markus Winny, Lavinia Maegel, Leonie Grethe, Torsten Lippmann, Danny Jonigk, Harald Schrem, Alexander Kaltenborn, Juergen Klempnauer, Daniel Poehnert
Background: Adhesions to intraperitoneally implanted meshes (IPOM) are a common problem following hernia surgery and may cause severe complications. Recently, we showed that missing peritoneal coverage of the intestine is a decisive factor for adhesion formation and 4DryField(®) PH (4DF) gel significantly prevents intestine-to-mesh adhesions even with use of uncoated Ultrapro(®) polypropylene mesh (UPM). The present study investigates adhesion prevention capability of coated Parietex(®) mesh (PTM) and Proceed(®) mesh (PCM) in comparison to 4DF treated UPM...
2016: International Journal of Medical Sciences
https://www.readbyqxmd.com/read/27974917/paraesophageal-hernia-repair-with-bifacial-mesh
#12
EDITORIAL
S Ungureanu, N Șipitco, N Gladun, C Lepadatu
Background.The paraesophageal hiatus hernias (PHH) are relatively uncommon, but an increased incidence has been reported and they now account for 5-10% of all hiatus hernias. The surgical treatment is recommended for all the patients with this pathology because of high risk of complications: obstruction, incarceration, strangulation or perforation. The use of prostheses is recommended in the process of repairing the giant PHH because the main problem of this operation is the high rate of recurrence. Case presentation...
January 2016: Journal of Medicine and Life
https://www.readbyqxmd.com/read/27958629/prosthetic-materials-for-treating-posterior-vaginal-wall-prolapse-and-rectocele-own-experience
#13
Honorata Stadnik, Tomasz Maciej Kościński
OBJECTIVES: This report describes results of posterior vaginal wall prolapse and rectocele treatment performing tension free reconstruction method with polypropylene mesh implantation. MATERIAL AND METHODS: In years 2001 to 20015, 71 female patients in age of 42-82 years were surgically treated. Besides difficult emptying they complained of feeling of heaviness in the pelvis (38%) and dyspareunia (16.9%). Defecography and magnetic resonance proved the presence of rectocele in 84...
2016: Ginekologia Polska
https://www.readbyqxmd.com/read/27939847/open-tension-free-three-dimensional-cooper-ligament-repair-for-femoral-hernia
#14
Fikret Aksoy
BACKGROUND: The objective of this study was to investigate the outcome of modified three-dimensional (3D) anterior polypropylene mesh technique for recurrent inguinal and femoral hernias. METHODS: This study was designed as a prospective cohort clinical trial and 75 patients with femoral hernia and/or recurrent hernia were recruited between 2005 and 2014. Patients were operated upon using a modified 3D anterior polypropylene mesh technique. RESULTS: Sixty-three femoral and 12 recurrent hernias in 75 patients were treated by a single surgeon through a 9-year period using a modified 3D polypropylene mesh, fashioned by the same surgeon...
December 8, 2016: Asian Journal of Surgery
https://www.readbyqxmd.com/read/27919731/nerve-sparing-laparoscopic-colposacropexy-using-a-percutaneous-surgical-system-a-case-report
#15
Federico Romano, Francesco Legge, Giovanni Scambia, Maurizio Guido
STUDY OBJECTIVE: The primary aim of this study was to evaluate the feasibility, efficacy, and safeness of nerve-sparing laparoscopic colposacropexy performed with a minimally invasive approach by using 2.9-mm Percuvance percutaneous surgical system (PSS; The Percuvance System; Teleflex Inc., Wayne, PA). The secondary aim was to investigate the technical performance of these instruments as needle holder in the placement of the mesh. The final aim was to establish the rate of prolapse recurrence...
December 2, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27902825/association-between-the-amount-of-vaginal-mesh-used-with-mesh-erosions-and-repeated-surgery-after-repairing-pelvic-organ-prolapse-and-stress-urinary-incontinence
#16
Bilal Chughtai, Matthew D Barber, Jialin Mao, James C Forde, Sharon-Lise T Normand, Art Sedrakyan
Importance: Mesh, a synthetic graft, has been used in pelvic organ prolapse (POP) repair and stress urinary incontinence (SUI) to augment and strengthen weakened tissue. Polypropylene mesh has come under scrutiny by the US Food and Drug Administration. Objective: To examine the rates of mesh complications and invasive reintervention after the placement of vaginal mesh for POP repair or SUI surgery. Design, Setting, and Participants: This investigation was an observational cohort study at inpatient and ambulatory surgery settings in New York State...
November 30, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27819759/effect-of-platelet-rich-plasma-on-polypropylene-meshes-implanted-in-the-rabbit-vagina-histological-analysis
#17
Natália Gomes Parizzi, Oscar Ávila Rubini, Silvio Henrique Maia de Almeida, Lais Caetano Ireno, Roger Mitio Tashiro, Victor Hugo Tolotto de Carvalho
PURPOSE: The polypropylene mesh (PPM) is used in many surgical interventions because of its good incorporation and accessibility. However, potential mesh-related complications are common. Platelet-rich plasma (PRP) improves the healing of wounds and is inexpensive. Thus, the purpose of this study was to analyze the effect of the PRP-gel coating of a PPM on inflammation, production of collagen, and smooth muscle in the rabbit vagina. MATERIALS AND METHODS: The intervention consisted of a 1...
November 2, 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27771853/failure-of-expectations-in-vaginal-surgery-lack-of-appropriate-consent-goals-and-expectations-of-surgery
#18
REVIEW
Debjyoti Karmakar, Peter L Dwyer
INTRODUCTION AND BACKGROUND: Vaginal surgery for the treatment of urinary stress incontinence (USI) and pelvic organ prolapse (POP) using a synthetic polypropylene mesh is going through a time of unprecedented turmoil and debate. This review focuses on vaginal surgery for vaginal prolapse and looks at the current scientific literature on issues surrounding surgery including consent and expectations. SAFETY AND EFFECTIVENESS OF SURGICAL OPTIONS: Synthetic mesh has been used both abdominally and vaginally to improve the effectiveness of POP surgery...
December 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27766402/management-of-implant-exposure-in-one-stage-breast-reconstruction-using-titanium-coated-polypropylene-mesh-sub-mammary-intercostal-perforator-flap
#19
Michele Antonio De Riggi, Nicola Rocco, Giulio Gherardini, Emanuela Esposito, Massimiliano D'Aiuto
INTRODUCTION: One-stage implant-based breast reconstruction using titanium-coated polypropylene mesh is a novel approach widely used in Europe. Complication rates in breast reconstruction with the use of titanium-coated meshes seem to be comparable to those in patients with implant-based breast reconstruction alone. However, the use of synthetic meshes in implant-based breast reconstructive surgery leads to new clinical scenarios with the need for the breast surgeon to face new complications...
December 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/27738738/carcinogenic-potential-of-polypropylene-mid-urethral-slings-what-do-we-know-so-far
#20
Eugene Adel, Robert Shapiro, Stanley Zaslau
INTRODUCTION AND HYPOTHESIS: Polypropylene (PP) mesh has come under increased scrutiny owing to previous FDA safety communications regarding the risks of mesh in trans-vaginal surgery and ensuing class action litigation for post-operative complications. Additional concerns have been raised regarding a possible link between implanted PP mesh and the long-term development of malignancy. Until recently, no research was specifically committed to the exploration of such a link. Our objective was to provide an overview of the recent literature focusing on any association between the use of PP mesh for midurethral sling procedures and the development of malignancy...
October 13, 2016: International Urogynecology Journal
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