PELVİK ORGAN PROLAPSUS CERRAHİSİNDE MEŞ KULLANIMI: 'Pelvik Organ Prolapsusu ve Meş'

Year 2012, Volume: 75 Issue: 4, 71 - 77, 15.04.2013

Funda Güngör Uğurlucan , Gülşah Keskin İlhan Süleyman Akhan Önay Yalçın

Abstract

Pelvik organ prolapsusu, bir veya birkaç pelvik organın normal pozisyonundan aşağıya doğru inmesidir. Pelvik organ prolapsusu cerrahisinde çeşitli abdominal ve vaginal yöntemler tarif edilmiştir. Cerrahide doğal dokular veya meşler kullanılabilir. Doğal dokular ile plikasyon sonrasında rekürrensin arttığını gösteren yayınlar sonrasında vaginal meş cerrahisi popüler hale gelmiştir. Biyolojik veya sentetik materyaller ve meş kitleri geliştirilmiştir. Ancak halen meş kullanımının endikasyonları, kısa ve uzun dönem komplikasyonları ve başarı oranları hakkında tartışmalar mevcuttur.

Keywords

Pelvik organ prolapsusu, Meş, Pelvik taban disfonksiyonu, Ürojinekoloji

MESH USAGE IN PELVIC ORGAN PROLAPSE SURGERY

Abstract

Pelvic organ prolapse is descent of pelvic organs from their normal position. Several abdominal and vaginal operations have been designed for the treatment of pelvic organ prolapse. Native tissue or meshes can be used during these operations. Studies suggesting increased recurrence rate after plication with native tissue, have popularized the use of vaginal mesh surgery. Biologic and synthetic materials and mesh kits have been designed for this purpose. However, there is still debate about the indications of these procedures, short and long-term complications, and success rates.

Keywords

Pelvic organ prolapse, Mesh, Pelvic floor dysfunction, Urogynecology

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