Mistrangelo Emanuela, Mancuso Sara, Nadalini Chiara, Lijoi Davide, Costantini Sergio
Department of Gynecology and Obstetrics, University of Genova, Genova, Italy.
J Minim Invasive Gynecol. 2007 Sep-Oct;14(5):564-9. doi: 10.1016/j.jmig.2007.04.017.
Recently, the use of surgical mesh in pelvic floor surgery has become increasingly popular. While the reduction of surgical failure rates in vaginal reconstructive surgery is of critical importance, the addition of graft materials must be shown to improve anatomical outcomes and at least maintain, if not improve, lower urinary tract, bowel, and sexual function, as well as quality of life for the patient. Synthetic materials still have several disadvantages including vaginal erosion. Several factors contribute to the wide range of vaginal erosion rates, including patient characteristics such as age and estrogen deficiency; operative technique; implant size; and the specific properties of the graft material, such as pore size, stiffness, elasticity, and basic tissue compatibility. It is the aim of this article to present a critical review of the risk of vaginal erosion with use of synthetic grafts during vaginal reconstructive surgery.
近年来，外科网片在盆底手术中的应用越来越广泛。虽然降低阴道重建手术的失败率至关重要，但添加移植材料必须能改善解剖学结果，并且至少维持（如果不能改善的话）下尿路、肠道和性功能以及患者的生活质量。合成材料仍有包括阴道侵蚀在内的几个缺点。多种因素导致阴道侵蚀率差异很大，这些因素包括患者特征，如年龄和雌激素缺乏；手术技术；植入物大小；以及移植材料的具体特性，如孔径、硬度、弹性和基本组织相容性。本文的目的是对阴道重建手术中使用合成移植物时阴道侵蚀的风险进行批判性综述。
