Gałczyński Krzysztof, Futyma Konrad, Rechberger Tomasz
II Katedra i Klinika Ginekologii Uniwersytetu Medycznego w Lublinie, SPSK nr 4, Lublin.
Prz Menopauzalny. 2014 May;13(2):127-31. doi: 10.5114/pm.2014.42715. Epub 2014 May 21.
The frequency of female pelvic floor reconstruction surgery with synthetic materials has been systematically rising for the last 30 years. Nowadays, they are widely used in urogynecology with a high cure rate, and a statistically significant better outcome compared to classical vaginal repair procedures. This type of operation progressed in some areas from an indication for recurrent prolapse to that of using them in primary procedures. Nevertheless, implantation of synthetic material is associated with the occurrence of specific complications and side-effects. The number and type of complications varies, depending on the study, reaching as much as 10% in some centers. The International Continence Society (ICS) and International Urogynecological Association (IUGA) have introduced an interesting tool for the evaluation of complications related directly to the insertion of prostheses and grafts in the female pelvic floor. The purpose of this classification is to describe possible complications with numbers and letters which together form a code containing comprehensive information about the complication. This article presents the clinical and practical aspects of this classification and first comments about its usability. The presented classification may serve as a tool for the development of national and international registries of urogynecological procedures that would be a great source of information on the number and type of operations performed, their effectiveness and potential complications.
在过去30年里，使用合成材料进行女性盆底重建手术的频率一直在系统性上升。如今，它们在泌尿妇科中被广泛应用，治愈率高，与传统阴道修复手术相比，在统计学上有显著更好的效果。这类手术在某些方面已从用于复发性脱垂的适应症发展到在初次手术中使用。然而，合成材料的植入与特定并发症和副作用的发生有关。并发症的数量和类型各不相同，取决于研究，在一些中心高达10%。国际尿失禁学会（ICS）和国际泌尿妇科协会（IUGA）引入了一种有趣工具，用于评估与女性盆底假体和移植物植入直接相关的并发症。该分类的目的是用数字和字母描述可能的并发症，这些数字和字母共同构成一个包含有关并发症全面信息的代码。本文介绍了该分类的临床及实际方面，并对其可用性作了初步评论。所呈现的分类可作为开发国家和国际泌尿妇科手术登记处的工具，该登记处将成为有关所进行手术的数量和类型、其有效性及潜在并发症的重要信息来源。
