Effect of anterior vaginal wall prolapse repair by modified transvaginal mesh surgery: a retrospective cohort study

作者全名："Hu, Pan; Lei, Li; Wang, Ying; Tang, Jing; Liu, Lubin"

作者地址："[Hu, Pan; Lei, Li; Wang, Ying; Liu, Lubin] Chongqing Hlth Ctr Women & Children, Obstet & Gynecol, 120 Longshan Rd, Chongqing 410013, Peoples R China; [Hu, Pan; Lei, Li; Wang, Ying; Liu, Lubin] Chongqing Med Univ, Women & Childrens Hosp, Obstet & Gynecol, Chongqing, Peoples R China; [Tang, Jing] Chongqing Hlth Ctr Women & Children, Ultrasound, Chongqing, Peoples R China; [Tang, Jing] Chongqing Med Univ, Ultrasound, Women & Childrens Hosp, Chongqing, Peoples R China"

通信作者："Liu, LB (通讯作者)，Chongqing Hlth Ctr Women & Children, Obstet & Gynecol, 120 Longshan Rd, Chongqing 410013, Peoples R China.; Liu, LB (通讯作者)，Chongqing Med Univ, Women & Childrens Hosp, Obstet & Gynecol, Chongqing, Peoples R China."

来源：ARCHIVES OF GYNECOLOGY AND OBSTETRICS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000932715500001

JCR分区：Q2

影响因子：2.1

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：Anterior vaginal wall prolapse; Apical prolapse; Transvaginal mesh; Pelvic floor; Mesh shrinkage

摘要："ObjectiveTo explore clinical outcomes and complications of modified Transvaginal mesh (M-TVM) for advanced anterior vaginal wall prolapse in 1 year follow-up.Methods574 patients underwent TVM surgeries from 2019 to 2020 were collected and divided into TVM group and M-TVM group, all preoperative and postoperative data was obtained and compared between the two groups.Results285 women were involved eventually, including 181 in TVM group and 104 in M-TVM group. No significant difference of general conditions was found between these two groups. After long-term follow-up, patients in TVM group were more likely to suffer from pelvic pain than M-TVM group (P = 0.046). Meshes seemed much wider in M-TVM group (4.5 +/- 0.69 cm) than in TVM group (3.0 +/- 0.91 cm). No matter TVM or M-TVM, surgeries can significantly change point Aa and Ba when compared to preoperative data. Compared to TVM group, point C and D were significant changed in patients in M-TVM group after surgery (P < 0.001)ConclusionM-TVM is a commendable procedure that can significant correct anterior prolapse with mesh extended wider, and also supply stable apical support at the same time."

基金机构："national natural science foundation of China [81671441, 82171622]"

基金资助正文：This work was supported by Grant number 81671441 (Lubin LIU) and 82171622 (Lubin LIU) from national natural science foundation of China.