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Updated: Feb 15, 2026
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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Foundation for an evidence-informed algorithm for treating pelvic floor mesh complications: a review
G W Cundiff1, D J Quinlan1, J A van Rensburg2
1Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada.
BJOG : an International Journal of Obstetrics and Gynaecology
|February 1, 2018
Summary
This study developed an evidence-based algorithm to manage mesh complications in pelvic floor surgery. It provides a framework for diagnosis and treatment despite low-quality evidence.
Area of Science:
- Urogynecology
- Surgical Innovation
- Evidence-Based Medicine
Background:
- Mesh has been widely used in pelvic floor surgery.
- Complications associated with mesh necessitate clear management guidelines.
- Existing evidence on mesh complication management is limited.
Purpose of the Study:
- To address evidence gaps in managing mesh complications after pelvic floor surgery.
- To create an evidence-based algorithm for diagnosis and treatment.
- To establish a framework for surgical mesh complication management.
Main Methods:
- Utilized the Delphi method with a panel of surgeons.
- Defined a treatment strategy through iterative rounds of expert consensus.
- Conducted a review to expand postulates into evidence-based recommendations.
Main Results:
- Developed a comprehensive algorithm for mesh complication management.
- Identified and graded the quality of available evidence.
- The algorithm provides a structured approach for clinical decision-making.
Conclusions:
- Mesh removal requires balancing complication resolution with risks of recurrence.
- The developed algorithm offers a framework for managing mesh-related issues.
- Further research is needed to improve the quality of evidence in this field.
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