[Changes in the length of implanted mesh after reconstructive surgery of the anterior vaginal wall].
OBJECTIVE
To evaluate and quantify early and late changes in mesh length after anterior vaginal repair with implants with ultrasound.


METHODS
Prospective interventional study.


METHODS
Ultrasound assessment of 35 patient randomized in two groups both with Gynemesh insertion. In one group with Gynemesh Prolift anterior kit and second group with individualized size of the Gynemesh. Ultrasound measurement of the mesh in sagittal plane was performed postoperative day 4 and after 3-4 month. Measured values were put in proportions, together with the original size of the mesh. Results are expressed as a percentage of shortening.


RESULTS
In comparison of measurements from the late ultrasound scans with original size the shortening of the Prolift was 45% vs. 25% in Mesh group. When we compared the late and early ultrasound scans, there was no difference in the shrinking of the mesh in both group 16% vs 20%.


CONCLUSIONS
Insufficient spreading and anchoring of the anterior Prolift has a major impact on the final length of the mesh. The tissue reaction expressed as shrinking of the mesh is only 16-20%.
Gynekologicko-porodnická klinika VFN a 1. LF UK, Praha. kamil@svabik.cz
K
K
Svabík
A
A
Martan
J
J
Masata
R
R
El-Haddad
M
M
Pavlikova
D005260:Female; D006801:Humans; D008875:Middle Aged; D013526:Surgical Mesh; D014463:Ultrasonography; D014596:Uterine Prolapse / Q000000981:diagnostic imaging / Q000601:surgery*; D014621:Vagina / Q000601:surgery*