International Urogynecology Journal

, Volume 17, Supplement 1, pp 16–25

The biology behind fascial defects and the use of implants in pelvic organ prolapse repair

Authors

    • Centre for Surgical Technologies, Faculty of Medicine, and Pelvic Floor Centre, Departments of Obstetrics & Gynecology and UrologyUniversity Hospital “Gasthuisberg”, Katholieke Universiteit Leuven
    • Centre for Surgical TechnologiesFaculteit Geneeskunde KU Leuven
  • Fang Zheng
    • Centre for Surgical Technologies, Faculty of Medicine, and Pelvic Floor Centre, Departments of Obstetrics & Gynecology and UrologyUniversity Hospital “Gasthuisberg”, Katholieke Universiteit Leuven
  • Maja Konstantinovic
    • Centre for Surgical Technologies, Faculty of Medicine, and Pelvic Floor Centre, Departments of Obstetrics & Gynecology and UrologyUniversity Hospital “Gasthuisberg”, Katholieke Universiteit Leuven
  • Federico Spelzini
    • Centre for Surgical Technologies, Faculty of Medicine, and Pelvic Floor Centre, Departments of Obstetrics & Gynecology and UrologyUniversity Hospital “Gasthuisberg”, Katholieke Universiteit Leuven
  • Filip Claerhout
    • Centre for Surgical Technologies, Faculty of Medicine, and Pelvic Floor Centre, Departments of Obstetrics & Gynecology and UrologyUniversity Hospital “Gasthuisberg”, Katholieke Universiteit Leuven
  • Anneke Steensma
    • Centre for Surgical Technologies, Faculty of Medicine, and Pelvic Floor Centre, Departments of Obstetrics & Gynecology and UrologyUniversity Hospital “Gasthuisberg”, Katholieke Universiteit Leuven
  • Yves Ozog
    • Centre for Surgical Technologies, Faculty of Medicine, and Pelvic Floor Centre, Departments of Obstetrics & Gynecology and UrologyUniversity Hospital “Gasthuisberg”, Katholieke Universiteit Leuven
  • Dirk De Ridder
    • Centre for Surgical Technologies, Faculty of Medicine, and Pelvic Floor Centre, Departments of Obstetrics & Gynecology and UrologyUniversity Hospital “Gasthuisberg”, Katholieke Universiteit Leuven
2005 IUGA Grafts Roundtable

DOI: 10.1007/s00192-006-0101-2

Cite this article as:
Deprest, J., Zheng, F., Konstantinovic, M. et al. Int Urogynecol J (2006) 17: 16. doi:10.1007/s00192-006-0101-2

Abstract

Implant materials are increasingly being used in an effort to reduce recurrence after prolapse repair with native tissues. Surgeons should be aware of the biology behind both the disease as well as the host response to various implants. We will discuss insights into the biology behind hernia and abdominal fascial defects. Those lessons from “herniology” will, wherever possible, be applied to pelvic organ prolapse (POP) problems. Then we will deal with available animal models, for both the underlying disease and surgical repair. Then we will go over the features of implants and describe how the host responds to implantation. Methodology of such experiments will be briefly explained for the clinician not involved in experimentation. As we discuss the different materials available on the market, we will summarize some results of recent experiments by our group.

Keywords

Graft biologyVaginal prolapseBiologic implantSynthetic implantSurgical repair

Copyright information

© International Urogynecology Journal 2006