Synethic or Biochemical Material for Reconstruction of Pelvic Organ Prolapse, It Matters!

Hun‐Shan Pan, Wei-Jiun Li, Lee‐Wen Huang, M. Ko, Jier-Zen Chang, Hu Chang, Pinchen Pan
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Abstract

Pelvic Organ Prolapse (POP) is a disabling and chronic condition that affects women of all ages. Pelvic organs can protrude outside the body through the vagina due to weakness in the pelvic floor. POP affects patients both physically and psychologically. Most women with POP suffer from at least one other pelvic floor disorder, such as incontinence. Pelvic organ prolapse increases nationwide, namely, anterior, posterior and middle compartments prolapse. Plenty of different kits had created in recent years for reconstruction surgery. Among those surgical kits, synthetic material augmentation plays a major role, for last Decade, however, Food and Drug Administ-ration raised (FDA) a red flag due to massive complication, such as spontaneous vaginal pain, extrution, there-fore, Nowdays, selection of proper material for reconstruction surgery is important for life quality. it divides into two systems: anchor non-anchor system. Hence, we attempt to compare a novel modified surgical technique involving a non-anchor system with the conventional anchor approach to determine the effectiveness of these two systems for treating POP. In this study, we compared the benefit, disadvantage, side effects, and complications for the two systems. Then we found that the modified tiling approach can be used to prevent the aforementioned surgical risks. Furthermore, if patients cannot bear the cost of using the required instruments, they can consider undergoing the modified nonanchor surgical procedure.
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合成或生化材料重建盆腔器官脱垂,这很重要!
盆腔器官脱垂(POP)是一种影响所有年龄女性的致残和慢性疾病。由于盆底无力,盆腔器官可通过阴道向体外突出。POP对患者的身体和心理都有影响。大多数患有POP的女性至少患有另一种盆底疾病,如尿失禁。盆腔器官脱垂在全国范围内增加,即前、后、中腔室脱垂。近年来,许多不同的工具被发明出来用于重建手术。在这些手术包中,人工合成材料的增加起着重要的作用,然而,在过去的十年中,由于大量的并发症,如自发性阴道疼痛,挤压,食品和药物管理局(FDA)提出了一个危险的信号,因此,现在选择合适的材料进行重建手术对生活质量很重要。它分为两种系统:锚非锚系统。因此,我们试图比较一种涉及非锚定系统和传统锚定方法的新型改良手术技术,以确定这两种系统治疗POP的有效性。在这项研究中,我们比较了两种系统的优点、缺点、副作用和并发症。然后我们发现改良的平铺入路可以预防上述手术风险。此外,如果患者无法承担使用所需器械的费用,他们可以考虑进行改良的非锚定手术。
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