Vol. 42 (3): 507-513, May – June, 2016
The “Pelvic Harness”: a skeletonized mesh implant for safe pelvic floor reconstruction
Sumerova Natalia 1, Neuman Menahem 2, 3, Krissi Haim 4, Pushkar Dmitri 5
1 European Medical Center, Moscow, Russia; 2 Urogynecology Unit, Departaments of Obstetrics and Gynecology, Galilee Hospital, Nahariya; 3 Bar-Ilan University, Faculty of Medicine, Safed, Israel; 4 Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; 5 Department of Urology, Moscow Medical Stomatological University, Russia
Objectives: To evaluate the feasibility, safety and surgical results of skeletonized mesh implants to form a pelvic harness for pelvic floor reconstruction surgery.
Study design: Patients with advanced pelvic floor prolapse were enrolled to this study. Study model was a kit mesh, reduced to 75% of the original surface area by cutting out mesh material from the central mesh body. Patients were evaluated at the end of the 1st and 6th post-operative months and interviewed at the study conclusion.
Results: Ninety-five women with advanced pelvic floor prolapse had this implant. Mean follow-up duration was 9 months (6-12 months). The POP-Q point’s measure¬ments showed marked and statistically significant improvements. Bladder over-activity symptoms, fecal incontinence, pelvic pain and constipation rates were all reduced as well. No adverse effects related to the dissection or mesh implantation were marked. The first and sixth post-operative month follow-up records as well as the study con¬clusion interview findings were satisfactory in terms of subjective and objective cure and adverse effects occurrence.
Conclusion: This study data proposes that skeletonizing meshes might be safely and successfully implanted for potentially improved pelvic floor reconstruction.
Keywords: Reconstructive Surgical Procedures; General Surgery; Pelvic Floor Disorders