ABSTRACT

With the release of the FDA statement, it has become increasingly important to reduce mesh-related complications. The aim of this abstract is to describe a new generation single-incision pelvic reconstructive technique using an isoelastic ultra-light mesh (21 g/m). Between 1st March 2011 and 31st July 2012, women with pelvic organs prolapse ≥ stage II underwent repair through the InGYNious technique (AMI Agency for Medical Innovations, Austria). The surgical technique ensures the fixation of the anterior and of the posterior compartments to the sacro-spinous ligament and the recreation of lateral support to the arcus tendineus fascia pelvis (anterior) and to the iliococcygeus muscle (posterior). One-hundred-twenty-two InGYNious procedures were performed, 98 conserving the uterus and 24 in patients with vaginal vault prolapse. The only intraoperative complication was a single case of bladder lesion. At one-year follow-up 98 patients were reviewed. The objective cure rate was 93.9% (92/98) with only 2 (2.0%) cases of vaginal mesh exposure. In conclusion, the InGYNious procedure is a minimally invasive technique to treat pelvic prolapse through a single vaginal incision. Initial results show the procedure to be safe and early efficacy is promising. Longer-term follow-up is ongoing.