[Study on risk factors with the occurrence of the mesh exposure after pelvic floor reconstruction].
OBJECTIVE
To study risk factors with the occurrence of the mesh exposure after pelvic floor reconstruction.


METHODS
From Mar.2007 to Mar.2011, a retrospective study was made on the clinical data of 353 patients undergoing vaginal mesh pelvic floor reconstruction. The related complications of the mesh were surveyed, and risk factors associated with the mesh's exposure were studied by single factor and multiple factors logistic regression.


RESULTS
It was found that the exposure rate was 9.6% (34/353) after 1 year postoperative follow-up.Single factor analysis showed that patients who were not less than 70 years old, patients who were on their menopause stage, the occurrence of not less than three parturition, history of pelvic surgery, diabetes and smoking had a significant correlation (all P < 0.05) with the occurrence of the mesh exposure after pelvic floor reconstruction. Multiple factors logistic regression analysis showed that patients who were not less than 70 years of age (OR = 2.389), the occurrence of not less than three parturition (OR = 2.688), the history of diabetes (OR = 3.545), the history of pelvic surgery (OR = 5.385) were the independent risk factors, and the operation experience was the protection factors (OR = 0.134).


CONCLUSIONS
Mesh exposure is a common complication after pelvic floor reconstruction.Old age, multiple delivery, history of diabetes and history of pelvic surgery are the risk factors of mesh exposure. Preoperative full assessment and the quality of training contribute to reduce the incidence.
Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command of People's Liberation Army, Fuzhou 350025, China. Email:hhj352@163.com.
Huijuan
H
Huang
Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command of People's Liberation Army, Fuzhou 350025, China.
Yanfeng
Y
Song
Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command of People's Liberation Army, Fuzhou 350025, China.
Xiaohua
X
Zheng
Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command of People's Liberation Army, Fuzhou 350025, China.
Fengmei
F
Wang
Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command of People's Liberation Army, Fuzhou 350025, China.
Lirong
L
Zheng
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D015999:Multivariate Analysis; D017773:Pelvic Floor / Q000601:surgery; D056887:Pelvic Organ Prolapse / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D013526:Surgical Mesh / Q000009:adverse effects; D017211:Treatment Failure; D014621:Vagina / Q000601:surgery