Lensen E J M, Withagen M I J, Kluivers K B, Milani A L, Vierhout M E
Department Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, 791, Postbus 9101, 6500 HB, Nijmegen, The Netherlands,
Int Urogynecol J. 2013 Oct;24(10):1723-31. doi: 10.1007/s00192-013-2098-7. Epub 2013 May 1.
The aim of this study was to compare failure and complication rates in patients who underwent a trocar-guided vaginal mesh repair with either a non-absorbable or a partially absorbable mesh.
Retrospective analysis of prospectively collected data from consecutive women undergoing either non-absorbable or partially absorbable mesh for symptomatic stage 2 prolapse or higher were evaluated at 12 months. Outcome measures included objective and subjective failure rates, patient's satisfaction, complications and perioperative outcomes.
Five hundred and sixty-nine women (347 with non-absorbable mesh, 222 with partially absorbable mesh) were included. Failure rates were similar in the two groups; the re-operation rate in the untreated compartments was higher in the non-absorbable mesh group compared with the partially absorbable mesh group (5% vs 1%). Mesh exposure rate in the non-absorbable mesh group was 12% and in the partially absorbable mesh group it was 5%. Other complication and patient satisfaction rates were similar.
Non-absorbable and partially absorbable mesh demonstrated similar outcome rates at 12 months. The risk of reoperation was lower for partially absorbable mesh. The mesh exposure rate was significantly lower for the partially absorbable mesh group compared with the non-absorbable mesh group.
本研究旨在比较接受套管针引导下使用不可吸收或部分可吸收网片进行阴道网片修补术患者的失败率和并发症发生率。
对前瞻性收集的连续接受不可吸收或部分可吸收网片治疗有症状的2期或更高期脱垂女性的数据进行回顾性分析，在12个月时进行评估。结果指标包括客观和主观失败率、患者满意度、并发症和围手术期结果。
纳入569名女性（347名使用不可吸收网片，222名使用部分可吸收网片）。两组失败率相似；不可吸收网片组未治疗部位的再次手术率高于部分可吸收网片组（5%对1%）。不可吸收网片组的网片暴露率为12%，部分可吸收网片组为5%。其他并发症和患者满意度相似。
不可吸收和部分可吸收网片在12个月时显示出相似的结果率。部分可吸收网片再次手术的风险较低。部分可吸收网片组的网片暴露率明显低于不可吸收网片组。
