e-ISSN 1973-4913
Volume : 40 Issue : 4 Year : 2021
Editor in Chief

Quick Search




pelviperineology. 2021; 40(1): 43-49 | DOI: 10.34057/PPj.2021.40.01.007

Efficacy of the mini mesh for reducing prolapse recurrence: comparison of two implant positioning methods

AYELLET NEUMANN KOREN1, MENAHEM NEUMAN2, JACOB BORNSTEIN2
1Bar Ilan University, Azrieli Faculty of Medicine, Safed, Israel, 2Bar Ilan University, Azrieli Faculty of Medicine, Safed, Israel; Department of Obstetrics and Gynaecology, Galilee Medical Center, Nahariya, Israel

Objective: :We aimed to compare the postoperative complications, cure rates, and patient satisfaction in mini mesh implantation with and without anterior arm fixation to the para vesical fascia for the re-enforcement of the anterior pelvic floor compartment.
Materials and Methods: :Thirty female patients diagnosed with symptomatic stage 3 pelvic organ prolapse (POP) of the anterior pelvic floor compartment were operated on by a single surgeon, using the SERATOM PA MR MN mini mesh graft (Serag-Wiessner, Naila, Germany). In thirty other women, serving as a control group, the anterior arms were positioned without fixation, while in the study group anterior arm fixation was added. Surgery complications, patientsí satisfaction 3 months after the surgery, POP grade and volume of prolapse, and subjective variables such as a feeling of bulge, pain, and dyspareunia were compared between the two groups.
Results: :Significant anatomical and functional improvements were documented in both groups with respect to the objective (p<0.05) and subjective (p<0.01) criteria, except for pain, dyspareunia, and fecal incontinence. All patients reported high satisfaction.
Conclusion: :Surgery with and without fixation led to significant improvement.


Cite This Article

KOREN A, NEUMAN M, BORNSTEIN J. Efficacy of the mini mesh for reducing prolapse recurrence: comparison of two implant positioning methods. 2021; 40(1): 43-49

Corresponding Author: KOREN A.

 | 
Full Text PDF