Evidence map›Paper›PMID 31222568›Full record

ReviewInternational urogynecology journal2020

Long-term mesh erosion rate following abdominal robotic reconstructive pelvic floor surgery: a prospective study and overview of the literature.

Femke van Zanten, Jan J van Iersel, Tim J C Paulides, Paul M Verheijen, Ivo A M J Broeders, Esther C J Consten, Egbert Lenters, Steven E Schraffordt Koops

Open access · hybridAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Sacrocolpopexy: The Way I Do It.International urogynecology journal · 2024
    Review
  5. Article
  6. Review
  7. Outcomes of robotic sacrocolpopexy.Obstetrics & gynecology science · 2023
    Article
  8. Article
  9. Review
  10. Cost-effectiveness of Surgical Treatment Pathways for Prolapse.Female pelvic medicine & reconstructive surgery · 2021
    Article
  11. Review
  12. Review
  13. 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

8 authors at 2 institutions in 1 country.

Femke van ZantenDepartment of Gynecology, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands. f.van.zanten@meandermc.nl.
Jan J van IerselFaculty of Electrical Engineering, Mathematics & Computer Science, Twente University, Enschede, The Netherlands.
Tim J C PaulidesDepartment of Surgery, Meander Medical Center, Amersfoort, The Netherlands.
Paul M VerheijenDepartment of Surgery, Meander Medical Center, Amersfoort, The Netherlands.
Ivo A M J BroedersFaculty of Electrical Engineering, Mathematics & Computer Science, Twente University, Enschede, The Netherlands.
Esther C J ConstenDepartment of Surgery, Meander Medical Center, Amersfoort, The Netherlands.
Egbert LentersDepartment of Gynecology, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands.
Steven E Schraffordt KoopsDepartment of Gynecology, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands.
Meander Medisch Centrum · NLUniversity of Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe use of synthetic mesh in transvaginal pelvic floor surgery has been subject to debate internationally. Although mesh erosion appears to be less associated with an abdominal approach, the long-term outcome has not been studied intensively. This study was set up to determine the long-term mesh erosion rate following abdominal pelvic reconstructive surgery.

methodsA prospective, observational cohort study was conducted in a tertiary care setting. All consecutive female patients who underwent robot-assisted laparoscopic sacrocolpopexy and sacrocolporectopexy in 2011 and 2012 were included. Primary outcome was mesh erosion. Preoperative and postoperative evaluation (6 weeks, 1 year, 5 years) with a clinical examination and questionnaire regarding pelvic floor symptoms was performed. Mesh-related complications were assessed using a transparent vaginal speculum, proctoscopy, and digital vaginal and rectal examination. Kaplan-Meier estimates were calculated for mesh erosion. A review of the literature on mesh exposure after minimally invasive sacrocolpopexy was performed (≥12 months' follow-up).

resultsNinety-six of the 130 patients included (73.8%) were clinically examined. Median follow-up time was 48.1 months (range 36.0-62.1). Three mesh erosions were diagnosed (3.1%; Kaplan-Meier 4.9%, 95% confidence interval 0-11.0): one bladder erosion for which mesh resection and an omental patch interposition were performed, and two asymptomatic vaginal erosions (at 42.7 and 42.3 months) treated with estrogen cream in one. Additionally, 22 patients responded solely by questionnaire and/or telephone; none reported mesh-related complaints. The literature, mostly based on retrospective studies, described a median mesh erosion rate of 1.9% (range 0-13.3%).

conclusionsThe long-term rate of mesh erosion following an abdominally placed synthetic graft is low.

Indexed as

LaparoscopyPelvic Organ ProlapsePlastic Surgery ProceduresRoboticsRobotic Surgical ProceduresFemaleHumansObservational Studies as TopicPelvic FloorProspective StudiesRetrospective StudiesSurgical MeshTreatment OutcomeErosionMesh exposurePelvic organ prolapseRoboticSacrocolpopexySacrocolporectopexy

Identifiers

PMID31222568
PMCPMC7306026
OpenAlexW2949803601

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.