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PELVİK ORGAN PROLAPSUS TEDAVİSİNDE DÖRT KOLLU MEŞ UYGULAMASI SONUÇLARIMIZ

Year 2014, Volume: 18 Issue: 1, 36 - 40, 01.03.2014

Abstract

Pelvik organ prolapsus şikayetiyle başvuran ve dört kollu meş uygulanan hastalardaki tedavi sonuçlarımızı değerlendirmeyi amaçladık Kliniğimize Ocak 2009/Temmuz 2013 tarihleri arasında başvuran 16 hasta çalışmaya dahil edildi. POPQ ya göre grade 3 ve üzeri ön prolapsusu olan hastalara meş ile onarım yapıldı. Hastalar preoperatif, postoperatif 3 ve 12. aylarda anatomik olarak POP-Q ve semptom derecesi yönünden POPIQ-7 skorlamaları ile değerlendirildi. Hastaların ortalama yaşı 62,25, doğum sayısı 3,12 ve vücut kitle indeksi ise 23,06 olarak belirlendi. POP-Q-Aa, Ba, C ve POPIQ-7 değerlerinde operasyon sonrası anlamlı düzelmeler saptandı p

References

  • Birch C, Fynes M. The role of synthetic and biological prostheses in reconstructive pelvic floor surgery. Curr Opin Obstet Gynecol 2002; 14: 527– 535. 2.
  • Clark AL, Gregory T, Smith VJ, Edwards R. Epidemiologic evaluation of reoperation for surgically treated pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 2003; 189: 1261– 1267. 3.
  • Whiteside JL, Weber AM, Meyn LA, Walters MD. Risk factors for prolapse recurrence after vaginal repair. Am J Obstet Gynecol 2004; 191: 1533–8. 4.
  • Hiltunen R, Nieminen K, Takala T, Heiskanen E, Merikari M, Nieme K, et al. Low-weight polypropylene mesh for anterior vaginal wall prolapse. Obstet Gynecol 2007; 110: 455–462. 5.
  • Benson J, Lucente V, McClellan E. Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support randomized outcome evaluation. Am J Obstet Gynecol 1996; 175: 1418–22.
  • Hugier J, Scali P. Posterior suspension of the genital axis on the lumbosacral disk in the treatment of uterine prolapse. Presse Med1958; 66: 781–4. 7.
  • Eboue C, Marcus-Braun N, von Theobald transobturator monocentric experience of first 123 patients. Int Urogynecol J 2010; 21: 85- 93. repair by arms mesh: 8.
  • Julian TM. The efficacy or Marlex mesh in the repair of severe, recurrent vaginal midvaginal wall. Am J Obstet Gynecol 1996; 175: 1472–5. of the anterior 9.
  • Sivaslioglu AA, Unlubilgin E, Dolen I. A randomized comparison of polypropylene mesh surgery with site- specific surgery in the treatment of cystocoele. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19(4): 467–71. 10. Nguyen JN
  • Outcome after anterior vaginal prolapse repair: a randomized controlled trial. Obstet Gynecol 2008; 111: 891–8. RJ. 11. Delorme E.
  • Transobturator urethral procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001; 11: 1306–13. miniinvasive 12.
  • Eglin G, Ska JM, Serres X. Transobturator Tolerance and short-term results of a 103 case continuous series. Gynecol Obstet Fertil 2003; 31: 14–9. mesh. 13.
  • Sergent F, Sentilhes L, Resch B, Verspyck E, Medeiros R, Descamps P et al. Treatment of concomitant prolapse and stress urinary incontinence via a transobturator subvesical mesh without independent suburethral tape. Acta Obstetricia et Gynecologica 2010; 89: 223–9. 14.
  • Palma P, Riccetto C, Prudente A, Dalphorno F, Delroy C, Castro R, et al. Monoprosthesis for anterior vaginal prolapse and stress urinary incontinence: midterm results of an international multicentre Urogynecol J 2011; 22: 1535-41. study. Int 15.
  • Mourtialon P, Letouzey V, Eglin G, de Tayrac R; French Ugytex Study Group. Cystocele repair by vaginal route: comparison of three different surgical techniques of mesh placement. Int Urogynecol J 2012; 23: 699-706.
  • Yazının alınma tarihi:01.02.2014
  • Kabül tarihi:15.02.2014
  • Onlinbasım:15.02.2014

THE RESULTS OF FOUR ARMS MESH IMPLEMENTATİON IN TREATMENT OF PELVIC ORGAN PROLAPSE

Year 2014, Volume: 18 Issue: 1, 36 - 40, 01.03.2014

Abstract

We aimed to investigate the outcomes of four arms mesh in patients with pelvic organ prolapse. 16 Patients with pelvic organ prolapse were enrolled in this study between January 2009 and July 2013. Four arms mesh was performed the patients who had at least grade 3 anterior prolapse according to POPQ. The patients were assessed by using POP-Q and POPIQ-7 preoperatively and postoperatively 3rd and 12th month . The mean of the age, parity and body mass index was 62.25, 3.12 and 23.06, respectively. We found that there were significantly improvements of POP-Q-Aa, Ba, C and POPIQ-7 scores after the operation respectively, p

References

  • Birch C, Fynes M. The role of synthetic and biological prostheses in reconstructive pelvic floor surgery. Curr Opin Obstet Gynecol 2002; 14: 527– 535. 2.
  • Clark AL, Gregory T, Smith VJ, Edwards R. Epidemiologic evaluation of reoperation for surgically treated pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 2003; 189: 1261– 1267. 3.
  • Whiteside JL, Weber AM, Meyn LA, Walters MD. Risk factors for prolapse recurrence after vaginal repair. Am J Obstet Gynecol 2004; 191: 1533–8. 4.
  • Hiltunen R, Nieminen K, Takala T, Heiskanen E, Merikari M, Nieme K, et al. Low-weight polypropylene mesh for anterior vaginal wall prolapse. Obstet Gynecol 2007; 110: 455–462. 5.
  • Benson J, Lucente V, McClellan E. Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support randomized outcome evaluation. Am J Obstet Gynecol 1996; 175: 1418–22.
  • Hugier J, Scali P. Posterior suspension of the genital axis on the lumbosacral disk in the treatment of uterine prolapse. Presse Med1958; 66: 781–4. 7.
  • Eboue C, Marcus-Braun N, von Theobald transobturator monocentric experience of first 123 patients. Int Urogynecol J 2010; 21: 85- 93. repair by arms mesh: 8.
  • Julian TM. The efficacy or Marlex mesh in the repair of severe, recurrent vaginal midvaginal wall. Am J Obstet Gynecol 1996; 175: 1472–5. of the anterior 9.
  • Sivaslioglu AA, Unlubilgin E, Dolen I. A randomized comparison of polypropylene mesh surgery with site- specific surgery in the treatment of cystocoele. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19(4): 467–71. 10. Nguyen JN
  • Outcome after anterior vaginal prolapse repair: a randomized controlled trial. Obstet Gynecol 2008; 111: 891–8. RJ. 11. Delorme E.
  • Transobturator urethral procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001; 11: 1306–13. miniinvasive 12.
  • Eglin G, Ska JM, Serres X. Transobturator Tolerance and short-term results of a 103 case continuous series. Gynecol Obstet Fertil 2003; 31: 14–9. mesh. 13.
  • Sergent F, Sentilhes L, Resch B, Verspyck E, Medeiros R, Descamps P et al. Treatment of concomitant prolapse and stress urinary incontinence via a transobturator subvesical mesh without independent suburethral tape. Acta Obstetricia et Gynecologica 2010; 89: 223–9. 14.
  • Palma P, Riccetto C, Prudente A, Dalphorno F, Delroy C, Castro R, et al. Monoprosthesis for anterior vaginal prolapse and stress urinary incontinence: midterm results of an international multicentre Urogynecol J 2011; 22: 1535-41. study. Int 15.
  • Mourtialon P, Letouzey V, Eglin G, de Tayrac R; French Ugytex Study Group. Cystocele repair by vaginal route: comparison of three different surgical techniques of mesh placement. Int Urogynecol J 2012; 23: 699-706.
  • Yazının alınma tarihi:01.02.2014
  • Kabül tarihi:15.02.2014
  • Onlinbasım:15.02.2014
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Gökhan Temeltaş This is me

Serkan Borazan This is me

Talha Müezzinoğlu This is me

Oktay Üçer This is me

Publication Date March 1, 2014
Published in Issue Year 2014 Volume: 18 Issue: 1

Cite

APA Temeltaş, G., Borazan, S., Müezzinoğlu, T., Üçer, O. (2014). PELVİK ORGAN PROLAPSUS TEDAVİSİNDE DÖRT KOLLU MEŞ UYGULAMASI SONUÇLARIMIZ. İzmir Eğitim Ve Araştırma Hastanesi Tıp Dergisi, 18(1), 36-40.
AMA Temeltaş G, Borazan S, Müezzinoğlu T, Üçer O. PELVİK ORGAN PROLAPSUS TEDAVİSİNDE DÖRT KOLLU MEŞ UYGULAMASI SONUÇLARIMIZ. İzmir EAH Tıp Der. March 2014;18(1):36-40.
Chicago Temeltaş, Gökhan, Serkan Borazan, Talha Müezzinoğlu, and Oktay Üçer. “PELVİK ORGAN PROLAPSUS TEDAVİSİNDE DÖRT KOLLU MEŞ UYGULAMASI SONUÇLARIMIZ”. İzmir Eğitim Ve Araştırma Hastanesi Tıp Dergisi 18, no. 1 (March 2014): 36-40.
EndNote Temeltaş G, Borazan S, Müezzinoğlu T, Üçer O (March 1, 2014) PELVİK ORGAN PROLAPSUS TEDAVİSİNDE DÖRT KOLLU MEŞ UYGULAMASI SONUÇLARIMIZ. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi 18 1 36–40.
IEEE G. Temeltaş, S. Borazan, T. Müezzinoğlu, and O. Üçer, “PELVİK ORGAN PROLAPSUS TEDAVİSİNDE DÖRT KOLLU MEŞ UYGULAMASI SONUÇLARIMIZ”, İzmir EAH Tıp Der, vol. 18, no. 1, pp. 36–40, 2014.
ISNAD Temeltaş, Gökhan et al. “PELVİK ORGAN PROLAPSUS TEDAVİSİNDE DÖRT KOLLU MEŞ UYGULAMASI SONUÇLARIMIZ”. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi 18/1 (March 2014), 36-40.
JAMA Temeltaş G, Borazan S, Müezzinoğlu T, Üçer O. PELVİK ORGAN PROLAPSUS TEDAVİSİNDE DÖRT KOLLU MEŞ UYGULAMASI SONUÇLARIMIZ. İzmir EAH Tıp Der. 2014;18:36–40.
MLA Temeltaş, Gökhan et al. “PELVİK ORGAN PROLAPSUS TEDAVİSİNDE DÖRT KOLLU MEŞ UYGULAMASI SONUÇLARIMIZ”. İzmir Eğitim Ve Araştırma Hastanesi Tıp Dergisi, vol. 18, no. 1, 2014, pp. 36-40.
Vancouver Temeltaş G, Borazan S, Müezzinoğlu T, Üçer O. PELVİK ORGAN PROLAPSUS TEDAVİSİNDE DÖRT KOLLU MEŞ UYGULAMASI SONUÇLARIMIZ. İzmir EAH Tıp Der. 2014;18(1):36-40.