Porcine collagen mesh evaluation in the pelvic floor reconstructions: P178


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Abstract

Aim:To evaluate the use of porcine collagen implants in the treatment of pelvic floor defects.Method:From 2007 to 2009 15 female patients aged 42-75 years were operated on for pelvic floor pathologies namely 12 rectocoeles, three enterocoeles, three genitalprolapses and one descending perineum. A transvaginal mesh implantation was used for 12 rectocoeles. In one patient a defect in the rectovaginal septum was repaired during laparotomy and in two patients by an abdominovaginal approach. Grafted material was anchored to the perineal structures and to sacral bone. Descending pelvic floor andprolapsing organs were sutured to such a scaffold.Results:Apart from one postoperative bleed after a transvaginal mesh implantation there was no local sepsis or graft erosion. At 1 year follow-up collagen implants were tolerated very well and permanent repair of pelvic floor defects and fixation of descending organs has been obtained. There was one case of recurrent dyschezia due to weakened rectovaginal septum after 18 months. All other patients were very satisfied with their tension-free reconstructions.Conclusion:Implantation of porcine collagen mesh is well tolerated and effective at 1 year followup but longer observation is needed for the late results.

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