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[Surgical abdominal access for prolapse using a Vicryl composite lattice. Preliminary study]
R Villet1, M van den Akker, D Salet-Lizee
1Service de Chirurgie Générale et Gynécologique, Hôpital des Diaconesses, Paris.
Summary
A new composite implant for genitourinary prolapsus fixation shows excellent tolerance and comparable anatomical results to traditional methods. This material reduces infectious complications and offers potential functional benefits for patients.
Area of Science:
- Urogynecology
- Pelvic reconstructive surgery
- Biomaterials in surgery
Background:
- Promontory fixation is a standard genitourinary prolapsus treatment.
- Mersutures offer good results but can cause infections and organ rigidity.
- Pelvic organ immobility may lead to functional impairments.
Purpose of the Study:
- To evaluate a novel composite implant for promontory fixation.
- The implant combines absorbable polyglactine 910 (Vicryl) and non-absorbable terephthalic polyester (Dacron).
- To assess tolerance, functional impact, and compare outcomes with Mersutures.
Main Methods:
- 32 patients with genitourinary prolapsus underwent promontory fixation with the composite implant.
- Follow-up averaged 24.2 months to evaluate tolerance and functional outcomes.
- Retrospective comparison with prior Mersuture use.
Main Results:
- The composite implant was well-tolerated with no infectious complications.
- Anatomical success rates were 93.4%, similar to Mersutures.
- Urinary incontinence cure rate was 68%, with 20% major improvement.
Conclusions:
- The Vicryl-Dacron composite is a viable option for promontory fixation in prolapsus surgery.
- This material minimizes inert implant bulk, leaving a flexible Dacron lattice.
- Prospective studies are needed to confirm functional advantages in prolapsus care.