Immediate and perioperative outcomes of polypropylene mesh in pelvic floor repair in a predominantly obese population

This retrospective study was to identify perioperative and postoperative complications associated with use of polypropylene mesh for pelvic floor repair in a UK district general hospital in a predominantly obese population. The sample size was 27 women with data retrieved from records. Total mesh wa...

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Bibliographic Details
Published in:Clinical and experimental obstetrics & gynecology 2010, Vol.37 (4), p.266-268
Main Authors: Adedipe, T O, Vine, S J
Format: Article
Language:English
Subjects:
Aged
Body Mass Index
Equipment Failure - statistics & numerical data
Female
Humans
Intraoperative Complications - epidemiology
Middle Aged
Obesity, Abdominal - complications
Overweight - complications
Polypropylenes
Postoperative Complications - epidemiology
Recurrence
Surgical Mesh
Treatment Outcome
Urinary Bladder - injuries
Uterine Prolapse - complications
Uterine Prolapse - surgery
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Summary:This retrospective study was to identify perioperative and postoperative complications associated with use of polypropylene mesh for pelvic floor repair in a UK district general hospital in a predominantly obese population. The sample size was 27 women with data retrieved from records. Total mesh was used in 37.1%, isolated anterior mesh in 44.4%, and an isolated posterior mesh in 18.5%. There was a high incidence of obese (BMI kg/m2 > or = 30.0) women (66.67%). The highest recorded thus far. A high proportion of the women (44.4%) were also over the age of 65 years with attendant comorbidities. The age range was 45-77 years. Complications included mesh exposure (7.4%), catheterization at discharge (7.4%), bladder injury during dissection (3.7%) and recurrent prolapse (7.4%). In the carefully selected individuals, polypropylene mesh for prolapse repair appears to be a safe technique to correct pelvic organ prolapse. However, long-term follow-up is needed with further research.
ISSN:0390-6663