AI Summary & Key Takeaways
AI InsightConclusion: Transvaginal mesh surgery was found to be a relatively successful technique in pelvic organ prolapse surgery owing to the high rate of success and minimal rates of complications.
📌 3 Key Takeaways
Abstract
Purpose: The aim of this study was to compare the efficiency of laparoscopic and transvaginal mesh operations with conservative surgery of reproductive-age women with pelvic organ prolapse (stage≥2) (POP). Materials and Methods: In this study, we retrospectively evaluated 22 cases of 105 patients who diagnosed with symptomatic POP-Q stage 2 and above pelvic prolapse, part of whom underwent laparoscopic surgery (Group-1) while the other part composed of those who underwent transvaginal mesh (TVM) surgery (Group-2). Urogenital prolapse Pelvic Organ was graded using POP-Q.As the current TVM surgical kits four-arms mesh was used. Results: The mean age of the patients of both groups was 42.2±11.4 and 38.3±12.8 years, respectively. The mean duration of hospitalization for the patients underwent laparoscopy was 2.3 days (range:1-4 days), that period was observed as 3 days in Group-2 (range:2-4 days). None of our patients had any adverse reactions in the early or late stages. The rate of success was 95.45% for patients who underwent laparoscopic surgery, while it was 98.10% for the group of TVM surgery. Conclusion: Transvaginal mesh surgery was found to be a relatively successful technique in pelvic organ prolapse surgery owing to the high rate of success and minimal rates of complications.
Özet
Amaç: Bu çalışmanın amacı, pelvik prolapsusu (POP) olan (evre≥2) üreme çağındaki kadınlarda laparoskopik ve transvajinal meş ameliyatlarının etkinliğini ile karşılaştırmaktır. Gereç ve Yöntem: Bu çalışmada, semptomatik POP-Q evre 2 ve üzeri pelvik prolapsus tanısı alan laparoskopik cerrahi geçiren 22 hasta ile (Grup-1), transvajinal meş (TVM) uygulanan 83 olguyu (grup 2) retrospektif olarak değerlendirdik. Prolapsus Pelvik Organ POP-Q kullanılarak derecelendirildi. Mevcut TVM cerrahi kitleri olarak dört kollu mesh kullanıldı. Bulgular: Her iki gruptaki hastaların ortalama yaşı sırasıyla 42,2 ± 11,4 ve 38,3 ± 12,8 yıldı. Laparoskopi yapılan hastaların ortalama hastanede kalış süresi 2,3 gün (1-4 gün), bu süre Grup-2'de 3 gün (2-4 gün) olarak gözlendi. Hastalarımızın hiçbirinde erken veya geç dönemde herhangi bir yan etki görülmedi. Başarı oranı laparoskopik cerrahi uygulanan hastalarda% 95.45 iken TVM cerrahisi grubunda% 98.10 idi. Sonuç: Transvajinal meş cerrahisinin, yüksek başarı oranı ve minimal komplikasyon oranları nedeniyle pelvik organ prolaps cerrahisinde başarılı bir teknik olduğu gösterilmiştir.