Complications after pelvic floor repair surgery (with and without mesh): short-term incidence after 1873 inclusions in the French VIGI-MESH registry. - Inserm - Institut national de la santé et de la recherche médicale Access content directly
Journal Articles BJOG: An International Journal of Obstetrics and Gynaecology Year : 2019

Complications after pelvic floor repair surgery (with and without mesh): short-term incidence after 1873 inclusions in the French VIGI-MESH registry.

Stéphanie Ragot
  • Function : Author

Abstract

OBJECTIVE:Assess the short-term incidence of serious complications of surgery for urinary incontinence or pelvic organ prolapse.DESIGN:Prospective longitudinal cohort study by using a surgical registry.SETTING:13 public hospitals in France.POPULATION OR SAMPLE:1873 women undergoing surgery between February 2017 and August 2018.METHODS:Preliminary analysis of serious complications after a mean 7-month follow-up (0-18), according to type of surgery. Surgeons reported procedures and complications, which were verified by the hospitals' information systems.MAIN OUTCOME MEASURES:Serious complication requiring discontinuation of the procedure or subsequent surgical intervention, life-threatening complication requiring resuscitation, or death.RESULTS:52 women (2.8%, 95% CI 2.1-3.6) experienced a serious complication during either the surgery, requiring discontinuation of the procedure, or the first months of follow-up, necessitating a subsequent reoperation; one case also required resuscitation; no women died. Of 811 midurethral slings (MUS), 11 were removed in part or totally (1.4%, 0.7-2.3), as were 2 of 391 transvaginal meshes (0.5%, 0.1-1.6), and 4 of 611 laparoscopically placed mesh implants (0.7%, 0.2-1.5). The incidence of serious complications 6 months after the surgical procedure was estimated around 3.5% (2.0-5.0) after MUS alone, 7.0% (2.8-11.3) after MUS with prolapse surgery, 1.7% (0.0-3.8) after vaginal native tissue repair, 2.8% (0.9-4.6) after transvaginal mesh, and 1.0% (0.1-1.9) after laparoscopy with mesh.CONCLUSIONS:Early serious complications are relatively rare. Monitoring must be continued and enlarged to assess the long-term risk associated with mesh use and identify its risk factors.
Fichier principal
Vignette du fichier
VIGIMESH revised BJOG CLEAN VERSION2.pdf (553.15 Ko) Télécharger le fichier
Figure 1.pdf (21.04 Ko) Télécharger le fichier
Supplementary material2.pdf (341.46 Ko) Télécharger le fichier
Origin : Files produced by the author(s)

Dates and versions

inserm-02310221 , version 1 (10-10-2019)

Identifiers

Cite

Xavier Fritel, Sandrine Campagne-Loiseau, Michel Cosson, Philippe Ferry, Christian Saussine, et al.. Complications after pelvic floor repair surgery (with and without mesh): short-term incidence after 1873 inclusions in the French VIGI-MESH registry.. BJOG: An International Journal of Obstetrics and Gynaecology, 2019, ⟨10.1111/1471-0528.15956⟩. ⟨inserm-02310221⟩
134 View
228 Download

Altmetric

Share

Gmail Facebook X LinkedIn More