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Ipek Gurol-Urganci, Rebecca S Geary, Jil B Mamza, Jonathan Duckett, Dina El-Hamamsy, Lucia Dolan, Douglas G Tincello, Jan van der Meulen
Importance: There is concern about outcomes of midurethral mesh sling insertion for women with stress urinary incontinence. However, there is little evidence on long-term outcomes. Objective: To examine long-term mesh removal and reoperation rates in women who had a midurethral mesh sling insertion for stress urinary incontinence. Design, Setting, and Participants: This population-based retrospective cohort study included 95 057 women aged 18 years or older who had a first-ever midurethral mesh sling insertion for stress urinary incontinence in the National Health Service hospitals in England between April 1, 2006, and December 31, 2015...
October 23, 2018: JAMA: the Journal of the American Medical Association
Shohei Kawaguchi, Kazutaka Narimoto, Satoko Urata, Masami Takeyama, Yoshifumi Kadono, Atsushi Mizokami
BACKGROUND: We evaluated the effect of transvaginal mesh (TVM) surgery for voiding function and continence using noninvasive examination and questionnaire. The present study aimed to ascertain which categories of patients need concomitant mid-urethral sling (MUS) after TVM surgery. METHODS: We included women who underwent TVM procedure between November 2009 and October 2013. Data from noninstrumented uroflowmetry and questionnaires about urinary symptoms were analyzed...
October 25, 2018: BMC Women's Health
Liselotte W Maassen, Daniëlle M van Gastel, Ilse Haveman, Marlies Y Bongers, Sebastiaan Veersema
STUDY OBJECTIVE: to analyze short-term effectiveness and symptom resolution after surgical removal of Essure® sterilization devices. DESIGN: single center retrospective cohort study. Canadian task force level III. SETTING: a large secondary care teaching hospital in the Netherlands. PATIENTS: all patients who underwent surgical removal of Essure® devices in the period between January 2009 and December 2015. INTERVENTIONS: Surgical removal of Essure® devices was predominantly performed by laparoscopic surgery...
October 16, 2018: Journal of Minimally Invasive Gynecology
Zosia Kmietowicz
No abstract text is available yet for this article.
October 9, 2018: BMJ: British Medical Journal
Uwe Klinge, Bernd Klosterhalfen
Today the use of textile meshes has become a standard for the treatment of abdominal wall hernias and for the reinforcement of any tissue repair as the strength of the implant decreases the recurrence rates. With increasing use, side effects of the textile implants became apparent, as well. Areas covered: Based on publications in Medline over the past decade, general and specific benefits, as well as risks, are discussed with the challenge to define individual risk-benefit ratios. For meshes, certain high-risk or low-risk conditions can be defined...
September 27, 2018: Expert Review of Medical Devices
Emanuele Rausa, Emanuele Asti, Michael Eamon Kelly, Alberto Aiolfi, Andrea Lovece, Gianluca Bonitta, Luigi Bonavina
The most troublesome complications of inguinal hernia repair are recurrent herniation and chronic pain. A multitude of technological products dedicated to abdominal wall surgery, such as self-gripping mesh (SGM) and glue fixation (GF), were introduced in alternative to suture fixation (SF) in the attempt to lower the postoperative complication rates. We conducted an electronic systematic search using MEDLINE databases that compared postoperative pain and short- and long-term surgical complications after SGM or GF and SF in open inguinal hernia repair...
September 24, 2018: World Journal of Surgery
Micaela Piccoli, Ferdinando Agresta, Grazia Maria Attinà, Dalia Amabile, Domenico Marchi
To date, there is no shared consensus on a definition of a complex abdominal wall in elective surgery and in the emergency, on indications, technical details, complications, and follow-up. The purpose of the conference was to lay the foundations for a homogeneous approach to the complex abdominal wall with the primary intent being to attain the following objectives: (1) to develop evidence-based recommendations to define "complex abdominal wall"; (2) indications in emergency and in elective cases; (3) management of "complex abdominal wall"; (4) techniques for temporary abdominal closure...
September 25, 2018: Updates in Surgery
S Yang, Y-M Shen, M-G Wang, Z-Y Zou, C-H Jin, J Chen
OBJECTIVE: We aimed to compare the clinical outcome of titanium-coated mesh and polypropylene mesh in laparoscopic inguinal hernia repair. METHODS: A total of 102 patients who received laparoscopic inguinal hernia repair in January-June 2016 in Beijing Chao-Yang Hospital were enrolled in this study. Patients were randomly divided into two groups, receiving either titanium-coated mesh (n = 50) or standard polypropylene mesh (n = 52). Multiple clinical parameters were collected and analyzed, including clinical manifestations, operative time, intraoperative blood loss, hospital stay, hospital cost, recovery time, and postoperative complications...
September 27, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Tanitra Tantitamit, Kuan-Gen Huang, Manatsawee Manopunya, Chih-Feng Yen
Uterine leiomyosarcoma (uLMS) is a rare and aggressive cancer, usually diagnosed incidentally at the time of myomectomy or hysterectomy. There have been concerns for several years about the fact that the inadvertent disruption of occult uLMS may have a negative impact on patient outcome. This study reviews the outcome and management of patients with a diagnosis of uLMS after surgery for presumed benign disease. We conducted a literature search in which 47 published English-language articles were obtained for evaluation...
April 2018: Gynecology and minimally invasive therapy
Ye Zhang, Xiaochen Song, Zhibo Zhang, Meng Mao, Fangfang Ai, Jia Kang, Lan Zhu
OBJECTIVE: To evaluate the long-term safety and effectiveness of inside-out transobturator tape (tension-free vaginal tape-obturator, TVT-O) for the treatment of stress urinary incontinence (SUI). PATIENTS AND METHODS: Between August 2004 and August 2006, 87 consecutive patients with SUI who underwent TVT-O were enrolled in this prospective cohort study. Patients with mixed UI, or pelvic organ prolapse requiring surgery, were excluded. Data relating to long-term postoperative complications, subjective satisfaction rate (Patient Global Impression of Improvement), objective cure rate (stress test), quality of life (QoL), and sexual function, were collected during follow-up...
September 24, 2018: BJU International
Qin Chen, Haiyan Shi, Weiguo Lu, Bingjian Lu
OBJECTIVES: Our objective is to investigate the prevalence, pathology and prognosis of uterine sarcomas in laparoscopic hysterectomy/myomectomy with electric power morcellation for presumed leiomyomas. STUDY DESIGN: We retrospectively reviewed patients with laparoscopic power morcellation (LPM) for presumed leiomyomas in a Chinese tertiary institution by chart review from September 1, 2013 to December 31, 2016. RESULTS: Twenty-four in 4478 patients (0...
November 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
J K Ramjist, F Dossa, T A Stukel, D R Urbach, L Fu, N N Baxter
PURPOSE: Despite the frequency with which inguinal hernia repairs (IHR) are performed, the real-world comparative effectiveness of laparoscopic versus open repairs is not well established. We compared the rate of recurrent inguinal hernia after laparoscopic and open mesh procedures. METHODS: We designed a population-based retrospective cohort study using linked administrative databases including adult patients in Ontario, Canada, who underwent primary IHR from April 1, 2003 to December 31, 2012...
September 22, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Panagiotis Bakas, Emmalouel Papadakis, Charalampos Karachalios, Anastasia Beta, Angelos Liapis
OBJECTIVE: To assess the long-term outcomes of tension-free vaginal tape obturator (inside-out) (TVTO) with or without anterior colporrhaphy. METHODS: The present prospective follow-up observational study included patients attending the 2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Greece, between April 3 and December 20, 2017, for follow-up care after treatment for urodynamic stress urinary incontinence (USUI) with or without cystocele...
September 20, 2018: International Journal of Gynaecology and Obstetrics
Elizabeth J Goodall, Rufus Cartwright, Emily C Stratta, Simon R Jackson, Natalia Price
INTRODUCTION AND HYPOTHESIS: Midurethral slings (MUS) are an established treatment for stress urinary incontinence (SUI), with good objective outcomes and low rates of complications. However, large population-based registry studies highlighted long-term complications from polypropylene slings including erosion, dyspareunia and chronic pain. With recent highly negative media coverage, many women are presenting with chronic pain attributed to the mesh to request complete removal. The available literature provides limited evidence on safety, symptom resolution and incontinence following MUS removal...
September 18, 2018: International Urogynecology Journal
Dorit Paz-Levy, Adi Y Weintraub, Yonatan Reuven, Zehava Yohay, Inbal Idan, Debi Elharar, David Yohay
OBJECTIVE: To compare prevalence and risk factors for urinary tract infection (UTI) following midurethral sling surgery with either the GYNECARE ABBREVO Continence System (Ethicon, Somerville, NJ, USA) or a standard transobturator. METHODS: A retrospective cohort study was conducted among women who underwent midurethral sling surgery to treat stress urinary incontinence at a single tertiary hospital in Israel between January 1, 2014, and August 11, 2015. Data were retrieved from medical records...
September 19, 2018: International Journal of Gynaecology and Obstetrics
S Cashman, S Biers, T Greenwell, C Harding, R Morley, S Fowler, N Thiruchelvam
OBJECTIVES: To analyse the results of the British Association of Urological Surgeons' stress urinary incontinence audit, and present the contemporary management of stress urinary incontinence by UK urologists. PATIENTS AND METHODS: The BAUS audit tool is an online resource, to which all UK urologists performing procedures for stress urinary incontinence (SUI) are invited to submit data. The data entries for procedures performed 2014-2016 were collated and analysed...
September 17, 2018: BJU International
Kathleen Lockhart, Douglas Dunn, Shawn Teo, Jessica Y Ng, Manvinder Dhillon, Edward Teo, Mieke L van Driel
BACKGROUND: This is an update of a Cochrane Review first published in 2001.Hernias are protrusions of all or part of an organ through the body wall that normally contains it. Groin hernias include inguinal (96%) and femoral (4%) hernias, and are often symptomatic with discomfort. They are extremely common, with an estimated lifetime risk in men of 27%. Occasionally they may present as emergencies with complications such as bowel incarceration, obstruction and strangulation. The definitive treatment of all hernias is surgical repair, inguinal hernia repair being one of the most common surgical procedures performed...
September 13, 2018: Cochrane Database of Systematic Reviews
D Moszkowicz, J-L Bouillot
No abstract text is available yet for this article.
October 2018: Journal of Visceral Surgery
(no author information available yet)
AIM: The Association of Coloproctology of Great Britain and Ireland (ACPGBI) Delphi process identified prevention and treatment of parastomal hernia (PSH) as the second highest priority non-cancer related colorectal pathology. This position statement aims to summarize the current evidence base. METHODS: Four broad themes were identified (prevention, diagnosis/classification, management and operative repair). Guidelines are based on evidence from an extensive literature review using organized searches on the PubMed, MEDLINE, Embase and Cochrane databases...
July 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
2018-09-05 22:40:03
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