Ann Ital Chir. 2022;92:349-354.
The aim of this study was to investigate the perioperative complications and short-term outcomes of patients who underwent sacrocolpopexy using a self-adhesive mesh.
This is a prospective, monocentric study conducted between October 2019 and December 2020. We included 20 consecutive patients on whom sacrocolpopexy using the Parietex ProGripTM Self-Fixating Mesh (Medtronic, Minneapolis, MN, USA) was performed. The patients' demographics, operative data, perioperative complications, and functional and anatomical outcomes were assessed.
A total of 20 patients were included in this study. The objective cure rate was 95%, and the subjective cure rate was 94.12%. The failure of the surgery was defined as the recurrence of pelvic organ prolapse (POP) ≥ grade II. The preoperative POP quantification classifications were as follows: grade I: 0%; grade II: 70%; grade III: 30%; and grade IV: 0%. There were no mesh-related complications or other intraoperative complications. The postoperative complications included two urinary tract infections, two incisional hernias, and a prolapse recurrence. The mean operative time was 154 ± 37.04 minutes, and the mean hospital stay time was 7 ± 1.12 days.
The present study found that the use of the Parietex ProGripTM Self-Fixating Mesh in abdominal sacrocolpopexy was not associated with greater rates of complications.
Pelvic organ prolapse, Sacrocolpopexy, Self-fixating mesh.
本研究旨在探讨使用自粘性网片行骶骨阴道固定术的患者的围手术期并发症和短期结局。
这是一项前瞻性、单中心研究，于 2019 年 10 月至 2020 年 12 月进行。我们纳入了 20 例连续接受 Parietex ProGripTM 自固定网片（美敦力，明尼苏达州明尼阿波利斯）行骶骨阴道固定术的患者。评估了患者的人口统计学资料、手术数据、围手术期并发症以及功能和解剖结局。
共有 20 例患者纳入本研究。客观治愈率为 95%，主观治愈率为 94.12%。手术失败定义为盆腔器官脱垂（POP）复发≥Ⅱ级。术前 POP 定量分类如下：Ⅰ级：0%；Ⅱ级：70%；Ⅲ级：30%；Ⅳ级：0%。无网片相关并发症或其他术中并发症。术后并发症包括 2 例尿路感染、2 例切口疝和 1 例脱垂复发。手术平均时间为 154±37.04 分钟，平均住院时间为 7±1.12 天。
本研究发现，在腹式骶骨阴道固定术中使用 Parietex ProGripTM 自固定网片并不会增加并发症的发生率。
盆腔器官脱垂；骶骨阴道固定术；自固定网片
