Clinical Application Of Mesh In Female Pelvic Floor Dysfuncrion Surgery

Objective:To investigate the feasibility,safety and effectiveness of mesh in the treatment of female pelvic reconstruction .Methods:A retrospective analysis was carried out on 60 patients with pelvic organ prolapse,who were underwent the operation for pelvice organ prolapse with mesh.All the patients were admitted by the Dalian Gyne- cology and Obstetrics Hospital from 2007.9 to 2009.2.Mesh was used for pelvic floor reconstruction in the operation.The average age was 60.9(32～83)years.The patients with the uterine prolapse were 44 cases, among these cases,with the anterior and posterior vaginal wall prolapse were 27 cases,with the anterior vaginal wall prolapse were 16 cases . The anterior and posterior vaginal wall prolapse were 7 cases;8 cases with the anterior vaginal wall prolapse;1 cases with the posterior vaginal wall prolapse;SUI 15 cases.Total pelvic floor reconstruction were 14 cases, among them performed vaginal hysterectomy 6 cases,8 patient was con- served uterus and 6 cases performed SUI surgery,3 patient had done hyste- rectomy;21 cases performed vaginal hysterectomy with repair anterior and/or posterior vaginal wall, all repaired anterior vaginal wall with mesh,1 cases repaired posterior vaginal wall with mesh, 3 cases performed vaginal bridge operation; 8 cases repaired anterior vaginal wall with mesh,1 cases repaired posterior vaginal wall with mesh;6 cases performed TVT-O and 1 cases repaired anterior vaginal wall with mesh;3 cases repaired anterior vaginal wall with mesh,1 case performed Manchester operation;1 cases repaired posterior vaginal wall with mesh.Results:The mean operation time was (87.6±42.1) min .The mean hemorrage was(145.5±105.6)ml.All the patients were well-being after op- eration.The mean time stay after operation was(8.3±2.4)d.The mean period of follow-up after operation was 10 month(2～19months),The erosion had happened in 2 cases,and it incidence was3.3%.3 cases recurrence was found in the study.Conclusions:The application of mesh in female pelvic reconstruction surgery was easy and simple.Patient tolerence was wel1.Mesh erosion is a common complication,which should be noticed .However, the long term outcome of Mesh in pelvic floor reconstruction needs further study.