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Sacrocolpopexy

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https://www.readbyqxmd.com/read/27844119/conservative-management-of-pelvic-abscess-following-sacrocolpopexy-a-report-of-three-cases-and-review-of-the-literature
#1
Soo Yun Kwon, Stacy Brown, John Hibbeln, Jeffrey Stephen Freed
INTRODUCTION AND HYPOTHESIS: After sacrocolpopexy, intra-abdominal pelvic abscesses are often managed with intravenous antibiotics, excision of the mesh involved, and debridement of compromised tissue. METHODS AND RESULTS: Three cases of successful management of pelvic abscesses after sacrocolpopexy using long-term antibiotics and percutaneous drainage of intra-abdominal abscesses without removing the mesh are presented. CONCLUSIONS: In selected patients who have undergone sacrocolpopexy, with careful counseling, conservative management of pelvic abscesses with percutaneous drainage and long-term antibiotic treatment without the surgical excision of the mesh may play a role...
November 14, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27833469/a-novel-approach-to-mesh-revision-after-sacrocolpopexy
#2
Melissa L Dawson, Rinko Rebecca, Nima M Shah, Kristene E Whitmore
Pelvic organ prolapse (POP) is the herniation of pelvic organs to or beyond the vaginal walls. POP affects 50% of parous women; of those women, 11% will need surgery based on bothersome symptoms. Transvaginal mesh has been used for vaginal augmentation since the 1990s. Complications from mesh use are now more prominent, and include chronic pelvic pain, dyspareunia, vaginal mesh erosion, and urinary and defecatory dysfunction. Presently, there is no consensus regarding treatment of these complications. Reported herein are two cases of women with defecatory dysfunction and pain after sacrocolpopexy who underwent mesh revision procedures performed with both urogynecologic and colorectal surgery...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27824746/readmission-and-prolapse-recurrence-after-abdominal-and-vaginal-apical-suspensions-in-older-women
#3
Tatiana V D Sanses, Jan M Hanley, Peter Zhang, Holly E Richter, Steven R Gambert, Chris S Saigal
OBJECTIVE: Our objective was to evaluate 30-day readmission, 12-month prolapse recurrence, and complications after apical surgeries in older women. METHODS: A retrospective cohort study was conducted using 2002-2011 Medicare data in women 65 years or older who underwent abdominal sacrocolpopexy with synthetic mesh, vaginal uterosacral, or sacrospinous colpopexy with 12 months follow-up. Vaginal mesh procedures were excluded. The primary outcome was 30-day inpatient readmission...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27810437/impact-of-obesity-on-robotic-assisted-sacrocolpopexy
#4
Lindsay M Kissane, Rose Calixte, Bogdan Grigorescu, Peter Finamore, Anthony Vintzileos
STUDY OBJECTIVE: To compare operative time in women stratified by BMI, undergoing robotic assisted sacrocolpopexy. Secondary objectives included characterizing peri-operative characteristics and reoperation rates. DESIGN: Retrospective cohort study. DESIGN: Classification: II-2 SETTING: University affiliated teaching hospital. PATIENTS: 179 consecutive patients who underwent robotic assisted sacrocolpopexy by a single surgeon from 2009 through 2013...
October 31, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27796653/sacrocolpopexy-surgical-technique-outcomes-and-complications
#5
REVIEW
Elizabeth B Takacs, Karl J Kreder
PURPOSE OF REVIEW: Pelvic organ prolapse is a non-life-threatening condition that has a wide variety of symptoms. Sacrocolpopexy has been the "gold standard" for management of apical pelvic organ prolapse with reported high success rates for anatomic correction. Herein, we review the surgical procedure, anatomic, and functional outcomes, as well as the intraoperative and postoperative complications. RECENT FINDINGS: Findings suggest that the ASC has an acceptably low overall complication rate comparable between open and minimally invasive approach...
December 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27780347/indications-and-complications-associated-with-the-removal-of-506-pieces-of-vaginal-mesh-used-in-pelvic-floor-reconstruction-a-multicenter-study
#6
John R Miklos, Orawee Chinthakanan, Robert D Moore, Deborah R Karp, Gladys M Nogueiras, G Willy Davila
STUDY OBJECTIVE: Synthetic mesh utilized to treat stress urinary incontinence (SUI) and pelvic organ prolapse (POP) can often result in postoperative complications. The objectives of this study were to determine: 1) the most common indications for mesh removal; 2) the incidences of the removal of specific mesh procedures (such as suburethral sling [SUS], transvaginal mesh [TVM], or sacrocolpopexy); and 3) the idences and types of surgical complications associated with mesh removal. DESIGN: This was a retrospective study...
October 26, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27776848/-clinical-practice-guidelines-synthesis-of-the-guidelines-for-the-surgical-treatment-of-primary-pelvic-organ-prolapse-in-women-by-the-afu-cngof-sifud-pp-snfcp-and-scgp
#7
L Le Normand, M Cosson, F Cour, X Deffieux, L Donon, P Ferry, B Fatton, J-F Hermieu, H Marret, G Meurette, A Cortesse, L Wagner, X Fritel
OBJECTIVE: Develop guidelines for surgery for primary pelvic organ prolapse (POP). METHODS: Literature review, establishment of levels of evidence, external review, and grading of recommendations by 5 French academic societies: Association Française d'Urologie, Collège National des Gynécologues et Obstétriciens Français, Société Interdisciplinaire d'Urodynamique et de Pelvi-Périnéologie, Société Nationale Française de Colo-proctologie, and Société de Chirurgie Gynécologique et Pelvienne...
October 21, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27773810/incidence-and-risk-factors-for-pelvic-pain-after-mesh-implant-surgery-for-the-treatment-of-pelvic-floor-disorders
#8
Elizabeth J Geller, Emma Babb, Andrea G Nackley, Denniz Zolnoun
STUDY OBJECTIVE: Our aim was to assess incidence and risk factors for pelvic pain after pelvic mesh implantation. DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: Single university hospital. PATIENTS: Women who have undergone surgery with pelvic mesh implant for treatment of pelvic floor disorders including prolapse and incontinence. INTERVENTIONS: Telephone interviews to assess pain, sexual function, and general health...
October 20, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27766346/laparoscopic-sacrocolpopexy-operative-times-and-efficiency-in-a-high-volume-female-pelvic-medicine-and-laparoscopic-surgery-practice
#9
Robert Moore, Christopher Moriarty, Orawee Chinthakanan, John Miklos
INTRODUCTION AND HYPOTHESIS: There has been a trend toward robotic sacrocolpopexy in the United States despite longer operating times and higher costs compared with traditional laparoscopy. The current study objective was to evaluate incision to closure times of laparoscopic sacrocolpopexy in a urogynecologic practice with extensive experience in the laparoscopic approach for pelvic reconstruction. METHODS: We conducted a single-center retrospective evaluation of consecutive patients undergoing laparoscopic sacrocolpopexy for vaginal vault prolapse using a permanent polypropylene Y-mesh over a 1-year period...
October 20, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27757813/reasons-for-and-against-use-of-non-absorbable-synthetic-mesh-during-pelvic-organ-prolapse-repair-according-to-the-prolapsed-compartment
#10
Stavros Kontogiannis, Evangelia Goulimi, Konstantinos Giannitsas
Awareness and reporting of mesh-related complications of pelvic organ prolapse repairs have increased in recent years. As a result, deciding whether to use a mesh or not has become a difficult task for urogynecologists. Our aim was to summarize reasons for and against the use of mesh in prolapse repair based on a review of relevant literature. Scopus and PubMed databases were searched for papers reporting on the efficacy and safety of native tissue versus non-absorbable, synthetic mesh prolapse repairs. Randomized controlled trials, systematic reviews, and meta-analyses were included...
October 18, 2016: Advances in Therapy
https://www.readbyqxmd.com/read/27752748/peek-s-harpoon-a-new-device-for-the-treatment-of-laparoscopic-sacropexy-preliminary-study-in-unembalmed-cadavers
#11
Marta Girvent Vilarmau, Felipe Ojeda Pérez, Maria José Canto Rivera, Marian Lorente Gascón
INTRODUCTION AND HYPOTHESIS: The aim of the study is to facilitate the suture on the sacral promontory for laparoscopic sacrocolpopexy. We hypothesised that a new method of sacral anchorage using a biosynthetic material, the polyether ether ketone (PEEK) harpoon, might be adequate because of its tensile strength, might reduce complications owing to its well-known biocompatibility, and might shorten the duration of surgery. METHODS: We verified the feasibility of insertion and quantified the stress resistance of the harpoons placed in the promontory in nine fresh cadavers, using four stress tests in each case...
October 17, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27751745/-urogynecology-pelvic-organ-prolapse-french-surgical-training-during-and-after-residency
#12
S Vigoureux, A Perreaud, G Legendre, D Salet-Lizée, R Villet
OBJECTIVES: For the treatment of prolapse, the vaginal route is less standardized than laparoscopy and seems abandoned by younger doctors. Our objectives were to evaluate the surgical experience of resident and youth gynecology and obstetrics assistants in pelviperineology and the level of confidence and mastery of the different surgical treatment of pelvic. METHODS: An anonymous questionnaire sent via an Internet platform interviewing residents and young assistants of gynecology and obstetrics (promotion 2005 to 2010) in France on their surgical training in pelviperineology...
October 14, 2016: Gynécologie, Obstétrique & Fertilité
https://www.readbyqxmd.com/read/27734794/robotic-versus-laparoscopic-sacrocolpopexy-for-apical-prolapse-a-case-control-study
#13
G Cucinella, G Calagna, G Romano, G Di Buono, G Gugliotta, S Saitta, G Adile, M Manzone, G Accardi, A Perino, A Agrusa
The apical prolapse has always been considered the most complex of the defects of the pelvic floor, for both the difficulty of the surgical corrective technique and for the high post-surgical recurrence rate. Today, the laparoscopic sacrocolpopexy can be considered the standard treatment for apical prolapse. In the last years, several author performed robotic sacrocolpopexy, obtaining positive results. So, we developed a casecontrol study in order to compare the surgical outcome of robotic group with a control group of laparoscopic approach in patients with symptomatic apical pro-lapsed between January 2015 and December 2015 at University Hospital Policlinico "P...
May 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27682746/perioperative-complications-and-cost-of-vaginal-open-abdominal-and-robotic-surgery-for-apical-vaginal-vault-prolapse
#14
Mallika Anand, Amy L Weaver, Kristin M Fruth, Bijan J Borah, Christopher J Klingele, John B Gebhart
OBJECTIVES: To determine the rate of perioperative complications and cost associated with Mayo-McCall culdoplasty (MMC), open abdominal sacrocolpopexy (ASC), and robotic sacrocolpopexy (RSC) for posthysterectomy vaginal vault prolapse. METHODS: We retrospectively searched for the records of patients undergoing posthysterectomy apical vaginal prolapse surgery (MMC, ASC, or RSC) between January 1, 2000, and June 30, 2012, at our institution. For all patients identified, perioperative complications, length of hospital stay, and inpatient costs to patients were abstracted from the medical records and compared by procedure...
September 26, 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27679307/laparoscopic-sacrocolpopexy-with-a-vaginal-prosthetic-adhesive
#15
J-P Estrade, B Gurriet
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27679305/outcomes-of-hybrid-laparoscopoc-sacrocolpopexy-for-pelvic-organ-prolapse-with-severe-cystocele
#16
M Ichikawa, M Sekine, S Ono, K Mine, S Akira, T Takeshita
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27679297/surgical-outcomes-of-paravaginal-repair-following-robotic-sacrocolpopexy
#17
T P Hoke, B Vakili, H Goldstein, E K Saks
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27679181/evaluation-of-vaginal-vault-position-with-dynamic-mri-in-women-who-had-laparoscopic-sacrocolpopexy-for-uterine-prolapse
#18
A T Yoldemir, C Cimsit, M Guclu, I N Akpinar
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27679152/assessment-of-long-term-urinary-symptoms-and-quality-of-life-after-robotic-assisted-sacrocolpopexy-with-or-without-concomitant-midurethral-sling
#19
K S Williams, J S Schachar, D F Shalom, M J Dayan, H A Winkler
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678881/robotic-sacrocolpopexy-utilizing-a-xenogenic-barrier
#20
M N Wasson, J L Cornella
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
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