title: Immediate and perioperative outcomes of polypropylene mesh in pelvic floor repair in a predominantly obese population.
abstract: This retrospective study was to identify perioperative and postoperative complications associated with use of polypropylene mesh for pelvic floor repair in a UK district general hospital in a predominantly obese population. The sample size was 27 women with data retrieved from records. Total mesh was used in 37.1%, isolated anterior mesh in 44.4%, and an isolated posterior mesh in 18.5%. There was a high incidence of obese (BMI kg/m2 > or = 30.0) women (66.67%). The highest recorded thus far. A high proportion of the women (44.4%) were also over the age of 65 years with attendant comorbidities. The age range was 45-77 years. Complications included mesh exposure (7.4%), catheterization at discharge (7.4%), bladder injury during dissection (3.7%) and recurrent prolapse (7.4%). In the carefully selected individuals, polypropylene mesh for prolapse repair appears to be a safe technique to correct pelvic organ prolapse. However, long-term follow-up is needed with further research.
authors.affiliation: Department of Obstetrics and Gynecology, Prince Charles Hospital, Merthyr Tydfil, UK. busolade@gmail.com
authors.forename: T O
authors.initials: TO
authors.lastname: Adedipe
authors.forename: S J
authors.initials: SJ
authors.lastname: Vine
mesh_terms: D000368:Aged; D015992:Body Mass Index; D004868:Equipment Failure / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology*; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000150:complications*; D050177:Overweight / Q000150:complications; D011126:Polypropylenes; D011183:Postoperative Complications / Q000453:epidemiology*; D012008:Recurrence; D013526:Surgical Mesh; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000293:injuries; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*
chemical_list: D011126:Polypropylenes