Funda GÜNGÖR UĞURLUCAN, Gülşah KESKİN İLHAN, Süleyman AKHAN, Önay YALÇIN

PELVİK ORGAN PROLAPSUS CERRAHİSİNDE MEŞ KULLANIMI: 'Pelvik Organ Prolapsusu ve Meş'

Pelvik organ prolapsusu, bir veya birkaç pelvik organın normal pozisyonundan aşağıya doğru inmesidir. Pelvik organ prolapsusu cerrahisinde çeşitli abdominal ve vaginal yöntemler tarif edilmiştir. Cerrahide doğal dokular veya meşler kullanılabilir. Doğal dokular ile plikasyon sonrasında rekürrensin arttığını gösteren yayınlar sonrasında vaginal meş cerrahisi popüler hale gelmiştir. Biyolojik veya sentetik materyaller ve meş kitleri geliştirilmiştir. Ancak halen meş kullanımının endikasyonları, kısa ve uzun dönem komplikasyonları ve başarı oranları hakkında tartışmalar mevcuttur.

Anahtar Kelimeler:

Pelvik organ prolapsusu, Meş, Pelvik taban disfonksiyonu, Ürojinekoloji

MESH USAGE IN PELVIC ORGAN PROLAPSE SURGERY

Pelvic organ prolapse is descent of pelvic organs from their normal position. Several abdominal and vaginal operations have been designed for the treatment of pelvic organ prolapse. Native tissue or meshes can be used during these operations. Studies suggesting increased recurrence rate after plication with native tissue, have popularized the use of vaginal mesh surgery. Biologic and synthetic materials and mesh kits have been designed for this purpose. However, there is still debate about the indications of these procedures, short and long-term complications, and success rates.

Keywords:

Pelvic organ prolapse, Mesh, Pelvic floor dysfunction, Urogynecology,

PDF

___

Altman D, Vayrynen T, Engh ME, Axelsen S, Falconer C; Nordic Transvaginal Mesh Group. Anterior colporrhaphy versus transvagial mesh for pelvic-organ prolapse. N Engl J Med 2011; 364:1826–1836.
Ashton-Miller JA, Delancey JO. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci 2007; 1101: 266–296.
Barber MD, Brubaker L, Nygaard I, Wheeler TL 2nd, Schaffer J, Chen Z, Spino C; Pelvic Floor Disorders Network. Defining success after surgery for pelvic organ prolapse. Obstet Gynecol 2009, 114(3):600-9.
Chmielewski L, Walters MD, Weber AM, Barber MD. Reanalysis of a randomized trial of three techniques of anterior colporrhaphy using clinically relevant definitions of success. Am J Obstet Gynecol 2005; 69:e1–e8.
Cundiff GW, Fenner D. Evaluation and treatment of women with rectocele: focus on associated defecatory and sexual dysfunction. Obstet Gynecol 2004; 104: 1403–1421.
Cundiff GW, Weidner AC, Visco AG, Addison WA, Bump RC. An anatomic and functional assessment of the discrete defect rectocele repair. Am J Obstet Gynecol 1998; 179: 1451–1457.
Davila GW, Drutz H, Deprest J. Clinical implications of the biology of grafts: conclusions of the 2005 IUGA Grafts Round-table. Int Urogynecol J 2006; 17: 851-855.
Davila GW, Jijon A. Managing vaginal mesh
exposure/erosions. Curr Op Obstet Gynecol 2012; 24: 343-348.
de Tayrac R, Deffieux X, Gervaise A, Chauveaud- Lambling A, Fernandez H. Long-term anatomical and functional assessment of transvaginal cystocele repair using a tension-free polypropylene mesh. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17: 483– 488.
de Tayrac R, Gervaise A, Chauveaud A, Fernandez H. Tension-free polypropylene mesh for vaginal repair of anterior vaginal wall prolapse. J Reprod Med 2005: 50: 75–78.
Diwadkar GB, Barber MD, Feiner B, Maher C, Jelovsek JE. Complication and reoperation rates after apical vaginal prolapse surgical repair: a systematic review. Obstet Gynecol 2009; 113: 363- 373.
Dwyer PL, O'Reilly BA. Transvaginal repair of anterior and posterior compartment prolapse with Atrium polypropylene mesh. BJOG 2004; 111: 831– 836.
Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B. Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift)-a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 2007; 19:743– 752.
Hiltunen R, Nieminen K, Takala T, Heiskanen E, Merikari M, Niemi K, Heinonen P. Low weight polypropylene mesh for anterior vaginal wall prolapse. Obstet Gynecol 2007; 110: 455–462.
Huffaker RK, Muir TW, Rao A, Baumann SS, Kuehl TJ, Pierce LM. Histologic response of porcine collagen-coated and uncoated polypropylene grafts in a rabbit vagina model. Am J Obstet Gynecol 2008; 198: 582–584.
Julian TM. The efficacy of Marlex mesh in the repair of severe, recurrent vaginal prolapse of the anterior midvaginal wall. Am J Obstet Gynecol 1996; 175: 1472–1475.
Kelly HA, Dumm WM. Urinary incontinence in women without manifest injury to the bladder. Int Urogynecol J Pelvic Floor Dysfunct 1998; 9:158– 164.
Lee U, Raz S. Emerging Concepts of Pelvic Floor
Prolapse Surgery: What is Cure? Curr Urol Rep 2011; 12:62–67.
Luck AM, Steele AC, Leong FC, and McLennan MT. Short-efficacy and complications of posterior intravaginal slingplasty. Int. Urogynecol J Pelvic Floor Dysfunct 2008; 19(6): 795–799.
Luijendijk RW, Hop WC, Van den Tol MP. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 2000; 343:392–398.
Maher CF, Feiner B, DeCuyper EM, Nichlos CJ, Hickey KV, O’Rourke P. Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial. Am J Obstet Gynecol 2011; 204:360.e1–360.e1–7.
Meschia M, Pifarotti P, Spennacchio M, Buonaguidi A, Gattei U, Somigliana E. A randomized comparison of tension-free vaginal tape and endopelvic fascia plication in women with genital prolapse and occult stress urinary incontinence. Am J Obstet Gynecol. 2004; 190(3):609-13.
Milani R, Salvatore S, Soligo M, Pifarotti P, Meschia M, Cortese M. Functional and anatomical outcome of anterior and posterior vaginal prolapse repair with prolene mesh. BJOG 2005; 112: 107– 111.
Moore RD, Miklos JR. Vaginal Mesh Kits For Pelvic Organ Prolapse, Friend or Foe: A Comprehensive Review. The Scientific World Journal 2009; 9: 163- 189.
Morrisroe S, Lee U, Raz S. The Use of Mesh in Vaginal Prolapse Repair: do the benefits justify the risks? Curr Opin Urol 2010; 20: 275-279.
Mucowski SJ, Jurnalov C, Phelps JY. Use of vaginal mesh in the face of recent FDA warnings and litigation. Am J Obstet Gynecol 2010; 203:103.
Nieminen K, Hiltunen R, Heiskanen E, Takala T, Niemi K, Heinonen P. Symptom resolution and sexual function after anterior vaginal wall repair with Urogynecol J Pelvic Floor Dysfunct 2008; 19: 1611– 1616. mesh. Int
Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997, 89(4):501–506.
Petros PE. Vault prolapse II: restoration of dynamic vaginal supports by infracoccygeal sacropexy, an axial day case vaginal procedure. Int. Urogynecol. J Pelvic Floor Dysfunct 2001; 12: 296–303.
Porter WE, Steele A, Walsh P, Kohli N, Karram MM. The anatomic and functional outcomes of the defect specific rectocele repairs. Am J Obstet Gynecol 1998; 181: 1353–1359.
Sand PK, Koduri S, Lobel RW, Winkler HA, Tomezsko J, Culligan PJ, Goldberg R. Prospective randomized trial of polyglactin 910 mesh to prevent recurrence of cystoceles and rectoceles. Am J Obstet Gynecol 2001; 184: 1357–1362.
Siegel AL, Kim M, Goldstein M, Levi S, Ilbeigi P. High incidence of vaginal mesh extrusion using the intravaginal slingplasty sling. J Urol 2005; 174(4 Pt 1): 1308–1311.
Sivaslioglu AA, Unlubilgin E, Dolen I. A randomized comparison of polypropylene mesh surgery with site-specific surgery in the treatment of cystocele. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: 467–471.
Staack A, Baxter CZ, Lee U, Morrisroe S, Kim J-H,
Rodriguez L, Raz S. Impact of translabial ultrasound on diagnosis and treatment of mesh related complications. J Urol 2010; 183: 647.
Swift S, Woodman P, O’Boyle A, Kahn M, Valley M, Bland D, Wang W, Schaffer J. Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol. 2005; 192(3): 795–806.
Vollebregt A, Fischer K, Gietelink D, van der Vaart CH. Primary surgical repair of anterior vaginal prolapse: a randomised trial comparing anatomical and colporraphy anterior mesh. BJOG 2011; 118: 1518-1527. transobturator
Walter JE; Urogynaecology Committee, Lovatsis D, Walter JE, Easton W, Epp A, Farrell SA, Girouard L, Gupta CK, Harvey MA, Larochelle A, Robert M, Ross S, Schachter J, Schultz JA, Wilkie DH; Society of Obstetricians and Gynaecologists of Canada . Transvaginal mesh procedures for pelvic organ prolapse. JOGC 2011; 33:168–174.
Weber AM, Abrams P, Brubaker L, Cundiff G, Davis G, Dmochowski RR, Fischer J, Hull T, Nygaard I, Weidner AC. The standardization of terminology for researchers in female pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunct 2001;12(3):178-86.

Başlangıç: 1916
Yayıncı: İstanbul Üniversitesi Yayınevi

Arşiv