Effect of mesh width on apical support after sacrocolpopexy

Introduction and hypothesis We evaluated the effect of polypropylene mesh width on vaginal apical support, mesh elongation, and mesh tensile strength for abdominal sacrocolpopexy. Methods Abdominal sacrocolpopexy was performed on ten cadavers using pieces of polypropylene mesh of width 1, 2, and 3 c...

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Bibliographic Details
Published in:International Urogynecology Journal 2017-08, Vol.28 (8), p.1153-1158
Main Authors: Balgobin, Sunil, Fitzwater, Joseph L., McIntire, Donald D., Delgado, Imelda J., Wai, Clifford Y.
Format: Article
Language:English
Subjects:
Cadaver
Colposcopy - instrumentation
Colposcopy - methods
Female
Gynecology
Humans
Medicine
Medicine & Public Health
Original Article
Polypropylenes
Prosthesis Design
Sacrum - surgery
Surgical Mesh
Tensile Strength
Urology
Vagina - surgery
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Summary:Introduction and hypothesis We evaluated the effect of polypropylene mesh width on vaginal apical support, mesh elongation, and mesh tensile strength for abdominal sacrocolpopexy. Methods Abdominal sacrocolpopexy was performed on ten cadavers using pieces of polypropylene mesh of width 1, 2, and 3 cm. Weights of 1, 2, 3, and 4 kg were sequentially applied to the vagina. The total distance moved by the vaginal apex, and the amount of stretch of the intervening mesh segment between the sacrum and the vagina were recorded for each width. The failure strengths of additional single and double layer sets of each width were also tested using a tensiometer. Data were analyzed with analysis of variance using a random effects model. Results The mean (standard error of the mean) maximum distance moved by the vaginal apex was 4.63 cm (0.37 cm) for the 1 cm mesh compared to 3.67 cm (0.26 cm) and 2.73 cm (0.14 cm) for the 2 and 3 cm meshes, respectively ( P  
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-016-3250-y