Cosson Michel, Debodinance Philippe, Boukerrou Malik, Chauvet M P, Lobry Pierre, Crépin Gilles, Ego Anne
Pôle de Chirurgie Gynécologique, Hôpital Jeanne de Flandre, Centre Hospitalier, Régional Universitaire de Lille, 59037 Lille, France.
Int Urogynecol J Pelvic Floor Dysfunct. 2003 Aug;14(3):169-78; discussion 178. doi: 10.1007/s00192-003-1066-z. Epub 2003 Jul 25.
The authors review the literature concerning all types of synthetics implants used in prolapse repair or the treatment of stress urinary incontinence, and analyze the mechanical properties of and the tolerance to the various products used. Various synthetic implants are also studied, including their advantages and disadvantages, as well as outcome following implantation and tolerance by the host, with respect to the type of product and the type of intervention. A review of current implant products demonstrated that the perfect product does not exist at present. The most promising of theses products for applications in transvaginal surgery to restore pelvic function appears to be the synthetic prostheses made predominantly of polypropylene, which offer mechanical properties of durability and elasticity. Their properties of resistance are undisputed, but it remains to be shown whether they are well tolerated when inserted by the vaginal route. The technical modalities for their use are still under evaluation, which should enable a better identification of the respective indications for these products in prolapse repair and treatment of urinary incontinence by the vaginal route.
作者回顾了有关用于盆腔器官脱垂修复或压力性尿失禁治疗的各类合成植入物的文献，并分析了所用各种产品的机械性能和耐受性。还研究了各种合成植入物，包括其优缺点，以及植入后的效果和宿主的耐受性，涉及产品类型和干预类型。对当前植入产品的综述表明，目前不存在完美的产品。这些产品中最有希望应用于经阴道手术以恢复盆腔功能的似乎是主要由聚丙烯制成的合成假体，其具有耐久性和弹性的机械性能。它们的抗阻性能无可争议，但经阴道插入时是否能被良好耐受仍有待证明。其使用的技术方式仍在评估中，这将有助于更好地确定这些产品在经阴道途径的盆腔器官脱垂修复和尿失禁治疗中的各自适应症。
