Obstetrics and Gynecology, Chongqing Health Center for Women and Children, No.120, Longshan Road, Yubei District, Chongqing, 410013, China.
Obstetrics and Gynecology, Women and Children's Hospital, Chongqing Medical University, Chongqing, China.
Arch Gynecol Obstet. 2023 May;307(5):1513-1520. doi: 10.1007/s00404-023-06945-6. Epub 2023 Feb 11.
To explore clinical outcomes and complications of modified Transvaginal mesh (M-TVM) for advanced anterior vaginal wall prolapse in 1 year follow-up.
574 patients underwent TVM surgeries from 2019 to 2020 were collected and divided into TVM group and M-TVM group, all preoperative and postoperative data was obtained and compared between the two groups.
285 women were involved eventually, including 181 in TVM group and 104 in M-TVM group. No significant difference of general conditions was found between these two groups. After long-term follow-up, patients in TVM group were more likely to suffer from pelvic pain than M-TVM group (P = 0.046). Meshes seemed much wider in M-TVM group (4.5 ± 0.69 cm) than in TVM group (3.0 ± 0.91 cm). No matter TVM or M-TVM, surgeries can significantly change point Aa and Ba when compared to preoperative data. Compared to TVM group, point C and D were significant changed in patients in M-TVM group after surgery (P < 0.001) CONCLUSION: M-TVM is a commendable procedure that can significant correct anterior prolapse with mesh extended wider, and also supply stable apical support at the same time.
探讨改良经阴道网片（M-TVM）治疗晚期前阴道壁脱垂的临床效果及并发症。
收集 2019 年至 2020 年期间行 TVM 手术的 574 例患者的临床资料，分为 TVM 组和 M-TVM 组，比较两组患者的术前和术后数据。
最终纳入 285 例患者，TVM 组 181 例，M-TVM 组 104 例。两组患者的一般情况差异无统计学意义。长期随访后，TVM 组患者发生盆腔疼痛的比例高于 M-TVM 组（P=0.046）。M-TVM 组网片（4.5±0.69cm）明显宽于 TVM 组（3.0±0.91cm）。与术前相比，TVM 组和 M-TVM 组术后 Aa 点和 Ba 点均明显改变。与 TVM 组相比，M-TVM 组患者术后 C 点和 D 点变化明显（P<0.001）。
M-TVM 是一种值得推荐的术式，可显著扩大网片的覆盖范围，纠正前阴道壁脱垂，同时提供稳定的顶点支撑。
