Mersilene网片尿道下吊带侵蚀的保守手术治疗
Conservative surgical management of Mersilene mesh suburethral sling erosion.
作者信息
Myers D L, LaSala C A
机构信息
Division of Urogynecology and Reconstructive Pelvic Surgery, Women and Infants Hospital of Rhode Island, the Brown University School of Medicine, Providence, Rhode Island, USA.
出版信息
Am J Obstet Gynecol. 1998 Dec;179(6 Pt 1):1424-8; discussion 1428-9. doi: 10.1016/s0002-9378(98)70005-5.
OBJECTIVE
The aim of this study was to describe conservative surgical management of polyethylene terephthalate (Mersilene, Ethicon, Inc, Somerville, NJ) mesh suburethral sling erosion as an alternative to sling removal.
STUDY DESIGN
Seven women who had undergone suburethral sling procedures with Mersilene mesh were found to have varying degrees of mesh visible in the vagina at 4 to 12 weeks after the operation. Three women with erosions <5 mm were treated in the office and 4 women who had 6 to 30 mm erosions underwent inpatient surgical revision, which consisted of trimming of mesh when needed, excision of granulation tissue, and re-covering of the erosion in 2 layers.
RESULTS
All 7 patients have been followed up for 6 to 37 months. Only 1 woman who underwent inpatient surgical revision had a recurrence (4 mm); this was treated successfully in the office.
CONCLUSION
Vaginal erosions in suburethral sling procedures with Mersilene mesh can be managed initially with our conservative surgical technique.
目的
本研究旨在描述聚对苯二甲酸乙二酯（Mersilene，Ethicon公司，新泽西州萨默维尔）网片尿道下吊带侵蚀的保守手术管理方法，作为吊带移除的替代方案。
研究设计
7名接受了Mersilene网片尿道下吊带手术的女性在术后4至12周时被发现阴道内有不同程度的网片外露。3名侵蚀小于5毫米的女性在门诊接受治疗，4名侵蚀为6至30毫米的女性接受了住院手术修复，包括必要时修剪网片、切除肉芽组织，并分两层覆盖侵蚀部位。
结果
所有7名患者均接受了6至37个月的随访。只有1名接受住院手术修复的女性出现复发（4毫米），在门诊成功治疗。
结论
采用Mersilene网片的尿道下吊带手术中的阴道侵蚀最初可采用我们的保守手术技术进行处理。
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