Cystocele repair with single-incision, trocarless mesh system
Introduction and hypothesis The use of mesh at the time of anterior vaginal wall repair reduced the risk of recurrent anterior vaginal wall prolapse. The aim of our video is to demonstrate our dissection technique focusing on the main anatomical landmarks in the pelvis and present an overall safer s...
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| Veröffentlicht in: | International Urogynecology Journal 2014-02, Vol.25 (2), p.285-287 |
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| creator | Marcus-Braun, Naama von Theobald, Peter |
| description | Introduction and hypothesis
The use of mesh at the time of anterior vaginal wall repair reduced the risk of recurrent anterior vaginal wall prolapse. The aim of our video is to demonstrate our dissection technique focusing on the main anatomical landmarks in the pelvis and present an overall safer system to correct pelvic floor prolapse.
Methods
The video demonstrates correction of cystocele with the EndoFast Reliant™ system (IBI Israel Biomedical Innovations, Caesarea Industrial Park South, Israel). The surgical technique is described.
Results
Twenty-nine patients were treated with the system. Mean follow-up was 10 (range, 6–30) months. At latest follow-up, favorable anatomical results were obtained for 26 of 29 patients (89.6 %); three patients presented stage 1 nonsymptomatic prolapse. Three cases (13 %) of de novo stress urinary incontinence (SUI) and two cases of de novo urgency (6.9 %) were diagnosed and treated. Postoperative voiding difficulties, dyspareunia, or pain were not observed.
Conclusion
The operation with the trocarless system was found to be safe, easy to learn and implement, and have the potential for reducing intra- and postoperative complications, with very satisfactory functional and anatomical results. |
| doi_str_mv | 10.1007/s00192-013-2159-y |
| format | Article |
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The use of mesh at the time of anterior vaginal wall repair reduced the risk of recurrent anterior vaginal wall prolapse. The aim of our video is to demonstrate our dissection technique focusing on the main anatomical landmarks in the pelvis and present an overall safer system to correct pelvic floor prolapse.
Methods
The video demonstrates correction of cystocele with the EndoFast Reliant™ system (IBI Israel Biomedical Innovations, Caesarea Industrial Park South, Israel). The surgical technique is described.
Results
Twenty-nine patients were treated with the system. Mean follow-up was 10 (range, 6–30) months. At latest follow-up, favorable anatomical results were obtained for 26 of 29 patients (89.6 %); three patients presented stage 1 nonsymptomatic prolapse. Three cases (13 %) of de novo stress urinary incontinence (SUI) and two cases of de novo urgency (6.9 %) were diagnosed and treated. Postoperative voiding difficulties, dyspareunia, or pain were not observed.
Conclusion
The operation with the trocarless system was found to be safe, easy to learn and implement, and have the potential for reducing intra- and postoperative complications, with very satisfactory functional and anatomical results.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-013-2159-y</identifier><identifier>PMID: 23807145</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Cystocele - surgery ; Female ; Follow-Up Studies ; Gynecologic Surgical Procedures - instrumentation ; Gynecologic Surgical Procedures - methods ; Gynecology ; Humans ; Incidence ; IUJ Video ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgical Procedures - instrumentation ; Minimally Invasive Surgical Procedures - methods ; Pelvic Floor - surgery ; Pelvic Organ Prolapse - surgery ; Pelvis - surgery ; Retrospective Studies ; Surgical Mesh ; Treatment Outcome ; Urinary Incontinence, Stress - epidemiology ; Urology</subject><ispartof>International Urogynecology Journal, 2014-02, Vol.25 (2), p.285-287</ispartof><rights>The International Urogynecological Association 2013</rights><rights>The International Urogynecological Association 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-cb83252b6d52f6c8d2a563212861648393dba8d3e63c7e4ba2abfe9ddf0f69e63</citedby><cites>FETCH-LOGICAL-c372t-cb83252b6d52f6c8d2a563212861648393dba8d3e63c7e4ba2abfe9ddf0f69e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-013-2159-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-013-2159-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23807145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marcus-Braun, Naama</creatorcontrib><creatorcontrib>von Theobald, Peter</creatorcontrib><title>Cystocele repair with single-incision, trocarless mesh system</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
The use of mesh at the time of anterior vaginal wall repair reduced the risk of recurrent anterior vaginal wall prolapse. The aim of our video is to demonstrate our dissection technique focusing on the main anatomical landmarks in the pelvis and present an overall safer system to correct pelvic floor prolapse.
Methods
The video demonstrates correction of cystocele with the EndoFast Reliant™ system (IBI Israel Biomedical Innovations, Caesarea Industrial Park South, Israel). The surgical technique is described.
Results
Twenty-nine patients were treated with the system. Mean follow-up was 10 (range, 6–30) months. At latest follow-up, favorable anatomical results were obtained for 26 of 29 patients (89.6 %); three patients presented stage 1 nonsymptomatic prolapse. Three cases (13 %) of de novo stress urinary incontinence (SUI) and two cases of de novo urgency (6.9 %) were diagnosed and treated. Postoperative voiding difficulties, dyspareunia, or pain were not observed.
Conclusion
The operation with the trocarless system was found to be safe, easy to learn and implement, and have the potential for reducing intra- and postoperative complications, with very satisfactory functional and anatomical results.</description><subject>Cystocele - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gynecologic Surgical Procedures - instrumentation</subject><subject>Gynecologic Surgical Procedures - methods</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Incidence</subject><subject>IUJ Video</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgical Procedures - instrumentation</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Pelvic Floor - surgery</subject><subject>Pelvic Organ Prolapse - surgery</subject><subject>Pelvis - surgery</subject><subject>Retrospective Studies</subject><subject>Surgical Mesh</subject><subject>Treatment Outcome</subject><subject>Urinary Incontinence, Stress - epidemiology</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kMtKxDAUhoMoOo4-gBspuHFh9OTStF24kMEbDLjRdUjb0zFDL2PSQfr2pnQUEVwFku__c85HyBmDawaQ3HgAlnEKTFDO4owOe2TGpBBUABf7ZAaZSKiQih-RY-_XACAhhkNyxEUKCZPxjNwuBt93BdYYOdwY66JP279H3rarGqltC-tt115FvesK42r0PmrQByDEsDkhB5WpPZ7uzjl5e7h_XTzR5cvj8-JuSQuR8J4WeSp4zHNVxrxSRVpyEyvBGU8VUzIVmShzk5YClSgSlLnhJq8wK8sKKpWF2zm5nHo3rvvYou91Y30YujYtdluvmQybZkKpEb34g667rWvDdCPFpWQxQKDYRBWu895hpTfONsYNmoEe3erJrQ5u9ehWDyFzvmve5g2WP4lvmQHgE-DDU7tC9-vrf1u_APqBhAI</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Marcus-Braun, Naama</creator><creator>von Theobald, Peter</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Cystocele repair with single-incision, trocarless mesh system</title><author>Marcus-Braun, Naama ; von Theobald, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-cb83252b6d52f6c8d2a563212861648393dba8d3e63c7e4ba2abfe9ddf0f69e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Cystocele - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gynecologic Surgical Procedures - instrumentation</topic><topic>Gynecologic Surgical Procedures - methods</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Incidence</topic><topic>IUJ Video</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgical Procedures - instrumentation</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Pelvic Floor - surgery</topic><topic>Pelvic Organ Prolapse - surgery</topic><topic>Pelvis - surgery</topic><topic>Retrospective Studies</topic><topic>Surgical Mesh</topic><topic>Treatment Outcome</topic><topic>Urinary Incontinence, Stress - epidemiology</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marcus-Braun, Naama</creatorcontrib><creatorcontrib>von Theobald, Peter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marcus-Braun, Naama</au><au>von Theobald, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cystocele repair with single-incision, trocarless mesh system</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>25</volume><issue>2</issue><spage>285</spage><epage>287</epage><pages>285-287</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
The use of mesh at the time of anterior vaginal wall repair reduced the risk of recurrent anterior vaginal wall prolapse. The aim of our video is to demonstrate our dissection technique focusing on the main anatomical landmarks in the pelvis and present an overall safer system to correct pelvic floor prolapse.
Methods
The video demonstrates correction of cystocele with the EndoFast Reliant™ system (IBI Israel Biomedical Innovations, Caesarea Industrial Park South, Israel). The surgical technique is described.
Results
Twenty-nine patients were treated with the system. Mean follow-up was 10 (range, 6–30) months. At latest follow-up, favorable anatomical results were obtained for 26 of 29 patients (89.6 %); three patients presented stage 1 nonsymptomatic prolapse. Three cases (13 %) of de novo stress urinary incontinence (SUI) and two cases of de novo urgency (6.9 %) were diagnosed and treated. Postoperative voiding difficulties, dyspareunia, or pain were not observed.
Conclusion
The operation with the trocarless system was found to be safe, easy to learn and implement, and have the potential for reducing intra- and postoperative complications, with very satisfactory functional and anatomical results.</abstract><cop>London</cop><pub>Springer London</pub><pmid>23807145</pmid><doi>10.1007/s00192-013-2159-y</doi><tpages>3</tpages></addata></record> |
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| subjects | Cystocele - surgery Female Follow-Up Studies Gynecologic Surgical Procedures - instrumentation Gynecologic Surgical Procedures - methods Gynecology Humans Incidence IUJ Video Medicine Medicine & Public Health Minimally Invasive Surgical Procedures - instrumentation Minimally Invasive Surgical Procedures - methods Pelvic Floor - surgery Pelvic Organ Prolapse - surgery Pelvis - surgery Retrospective Studies Surgical Mesh Treatment Outcome Urinary Incontinence, Stress - epidemiology Urology |
| title | Cystocele repair with single-incision, trocarless mesh system |
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