Lee Dominic, Zimmern Philippe E
Department of Urology, University of Texas, Southwestern Medical Center, Dallas, Texas, USA.
Curr Opin Urol. 2015 Jul;25(4):284-91. doi: 10.1097/MOU.0000000000000187.
Transvaginal placements of synthetic mid-urethral slings and vaginal meshes have largely superseded traditional tissue repairs in the current era because of presumed efficacy and ease of implant with device 'kits'. The use of synthetic material has generated novel complications including mesh extrusion, pelvic and vaginal pain and mesh contraction. In this review, our aim is to discuss the management, surgical techniques and outcomes associated with mesh removal.
Recent publications have seen an increase in presentation of these mesh-related complications, and reports from multiple tertiary centers have suggested that not all patients benefit from surgical intervention.
Although the true incidence of mesh complications is unknown, recent publications can serve to guide physicians and inform patients of the surgical outcomes from mesh-related complications. In addition, the literature highlights the growing need for a registry to account for a more accurate reporting of these events and to counsel patients on the risk and benefits before proceeding with mesh surgeries.
在当前时代，由于假定的有效性以及使用器械“套件”植入方便，经阴道放置合成材料的中段尿道吊带和阴道网片在很大程度上已取代了传统的组织修复方法。合成材料的使用引发了新的并发症，包括网片外露、盆腔和阴道疼痛以及网片挛缩。在本综述中，我们的目的是讨论与网片取出相关的处理、手术技术及结果。
最近的出版物显示这些与网片相关的并发症的报告有所增加，多个三级中心的报告表明并非所有患者都能从手术干预中获益。
尽管网片并发症的真实发生率尚不清楚，但最近的出版物可用于指导医生并告知患者与网片相关并发症的手术结果。此外，文献强调越来越需要建立一个登记系统，以便更准确地报告这些事件，并在进行网片手术前为患者提供风险和益处方面的咨询。
