Kalkan U, Yoldemir T, Ozyurek E S, Daniilidis A
a Department of Obstetrics and Gynecology , Egemed Hospital , Aydın , Turkey.
b Department of Obstetrics and Gynecology , Marmara University Hospital , Istanbul , Turkey.
Climacteric. 2017 Dec;20(6):510-517. doi: 10.1080/13697137.2017.1366978. Epub 2017 Sep 5.
In pelvic organ prolapse, the anatomical defects develop at the anterior (anterior vaginal wall), the posterior (posterior vaginal wall) and the apical (the uterus/cervix or the apex of the vagina, vaginal vault or cuff scar after hysterectomy) compartments. These defects occur in more than one compartment. Treatment of pelvic organ prolapse is commonly surgical, aiming to restore the anatomy of structures supporting the pelvic organs. The surgical repair techniques are classified as 'native tissue repair (NTR)' when only pelvic organ support tissues are used and 'augmented repair (AR)' when some other material (prosthesis or graft) is used to reinforce the defective support system. In this review, issues related to the basic science of meshes, and NTR versus mesh or graft AR procedures for pelvic organ prolapse are discussed while considering the varying risks and benefits according to the prolapsed compartment.
在盆腔器官脱垂中，解剖学缺陷发生在前侧（阴道前壁）、后侧（阴道后壁）和顶端（子宫/宫颈或阴道顶端、阴道穹窿或子宫切除术后的袖口瘢痕）区域。这些缺陷不止出现在一个区域。盆腔器官脱垂的治疗通常是手术治疗，旨在恢复支撑盆腔器官的结构的解剖形态。当仅使用盆腔器官支撑组织时，手术修复技术被分类为“自体组织修复（NTR）”；当使用其他材料（假体或移植物）来加强有缺陷的支撑系统时，则被分类为“增强修复（AR）”。在本综述中，在根据脱垂区域考虑不同风险和益处的同时，讨论了与补片基础科学以及盆腔器官脱垂的NTR与补片或移植物AR手术相关的问题。
