Evidence map›Paper›PMID 30083941›Full record

ArticleInternational urogynecology journal2019

Ultrasound visualization of sacrocolpopexy polyvinylidene fluoride meshes containing paramagnetic Fe particles compared with polypropylene mesh.

Vered H Eisenberg, Geertje Callewaert, Nikhil Sindhwani, Susanne Housmans, Dominique van Schoubroeck, Lior Lowenstein, Jan Deprest

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Vered H EisenbergDepartment of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel. veredeis@bezeqint.net.ORCID 0000-0001-7457-9957
Geertje CallewaertDepartment of Obstetrics and Gynecology, UZ Leuven, Leuven, Belgium.
Nikhil SindhwaniDepartment of Obstetrics and Gynecology, UZ Leuven, Leuven, Belgium.
Susanne HousmansDepartment of Obstetrics and Gynecology, UZ Leuven, Leuven, Belgium.
Dominique van SchoubroeckDepartment of Obstetrics and Gynecology, UZ Leuven, Leuven, Belgium.
Lior LowensteinDepartment of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel.
Jan DeprestDepartment of Obstetrics and Gynecology, UZ Leuven, Leuven, Belgium.
Universitair Ziekenhuis Leuven · BERambam Health Care Campus · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisParamagnetic Fe particles can be added during synthetic mesh production to allow visibility on magnetic resonance imaging. Our aim was to evaluate whether transperineal ultrasound (TPUS) allows visualization, measurement, and characterization of polyvinylidene fluoride (PVDF mesh) containing Fe particles compared with regular polypropylene (PP) meshes used for sacrocolpopexy.

methodsWomen up to 1.5 years after laparoscopic sacrocolpopexy who were implanted with a PP or PVDF mesh underwent clinical examination and 2D, 3D, and 4D TPUS. Acquired volumes were analyzed offline for mesh position at rest and maximal Valsalva and for mesh dimensions and characteristics, with the operator blinded to group assignment. The two groups were compared.

resultsThere were 17 women in the PP and 25 in the PVDF mesh group, without differences in baseline demographics. None had significant prolapse, recurrence, symptoms, or complications. On TPUS, mesh was visible in all patients both caudally (perineal) and cranially but was more echogenic in the PVDF mesh group. Mesh length from distal to proximal that was visible on TPUS was longer for PVDF mesh, for both anterior and posterior vaginal arms (all P < 0.05), and for mesh above the vaginal apex (P = 0.002). The inferior aspects of the mesh showed areas of double mesh layers, suggesting folding in 80% of women in both groups, without symptoms.

conclusionsPVDF mesh permits clearer visualization and is seen over a longer stretch on TPUS, with longer visible mesh arms. The latter can be due to differences in operative technique, presence of microparticles, implant textile structure, or patient characteristics.

Indexed as

Suburethral SlingsSurgical MeshAgedFemaleFerric CompoundsFluorocarbon PolymersHumansImaging, Three-DimensionalMiddle AgedPelvic Organ ProlapsePerineumPolypropylenesPolyvinylsUltrasonographyFerric CompoundsFluorocarbon PolymersPolypropylenespolyvinylidene fluoridePolyvinyls4D transperineal ultrasoundLaparoscopyMesh foldingMRI visible meshPelvic organ prolapsePVDF meshSacrocolpopexy mesh

Identifiers

PMID30083941
OpenAlexW2885557067

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.