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Effect of anterior vaginal wall prolapse repair by modified transvaginal mesh surgery: a retrospective cohort study

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objective

To explore clinical outcomes and complications of modified Transvaginal mesh (M-TVM) for advanced anterior vaginal wall prolapse in 1 year follow-up.

Methods

574 patients underwent TVM surgeries from 2019 to 2020 were collected and divided into TVM group and M-TVM group, all preoperative and postoperative data was obtained and compared between the two groups.

Results

285 women were involved eventually, including 181 in TVM group and 104 in M-TVM group. No significant difference of general conditions was found between these two groups. After long-term follow-up, patients in TVM group were more likely to suffer from pelvic pain than M-TVM group (P = 0.046). Meshes seemed much wider in M-TVM group (4.5 ± 0.69 cm) than in TVM group (3.0 ± 0.91 cm). No matter TVM or M-TVM, surgeries can significantly change point Aa and Ba when compared to preoperative data. Compared to TVM group, point C and D were significant changed in patients in M-TVM group after surgery (P < 0.001)

Conclusion

M-TVM is a commendable procedure that can significant correct anterior prolapse with mesh extended wider, and also supply stable apical support at the same time.

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Data availability

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

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Funding

This work was supported by Grant number 81671441 (Lubin LIU) and 82171622(Lubin LIU) from national natural science foundation of China.

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Authors and Affiliations

  1. Obstetrics and Gynecology, Chongqing Health Center for Women and Children, No.120, Longshan Road, Yubei District, Chongqing, 410013, China

    Pan Hu, Li Lei, Ying Wang & Lubin Liu

  2. Obstetrics and Gynecology, Women and Children’s Hospital, Chongqing Medical University, Chongqing, China

    Pan Hu, Li Lei, Ying Wang & Lubin Liu

  3. Ultrasound, Chongqing Health Center for Women and Children, Chongqing, China

    Jing Tang

  4. Ultrasound, Women and Children’s Hospital of Chongqing Medical University, Chongqing, China

    Jing Tang

Authors
  1. Pan Hu
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  2. Li Lei
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  3. Ying Wang
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  4. Jing Tang
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  5. Lubin Liu
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Contributions

PH Data collection, Data analysis, Manuscript writing, LL Project development, Data collection, YW Project development, JT Data collection, LL Project development, Data analysis, Manuscript revising.

Corresponding author

Correspondence to Lubin Liu.

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All authors declare there have no conflict of interest.

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Supplementary Information

Below is the link to the electronic supplementary material.

404_2023_6945_MOESM1_ESM.jpg

Supplementary file1 Supplemental figure 1 skin incisions of patients with modified TVM. the skin incisions. (JPG 296 KB)

404_2023_6945_MOESM2_ESM.jpg

Supplementary file2 Supplemental figure 2 ultrasonographic pictures of mesh. A. midsagittal view by transperineal ultrasound. B. 4-dimensional reconstruction of pelvic floor by ultrasound. (JPG 557 KB)

404_2023_6945_MOESM3_ESM.docx

Supplementary file3 Supplemental table 1 comparison of postoperative complications and recurrence rate among surgeons. (DOCX 18 KB)

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Hu, P., Lei, L., Wang, Y. et al. Effect of anterior vaginal wall prolapse repair by modified transvaginal mesh surgery: a retrospective cohort study. Arch Gynecol Obstet 307, 1513–1520 (2023). https://doi.org/10.1007/s00404-023-06945-6

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  • DOI: https://doi.org/10.1007/s00404-023-06945-6

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