Tech Coloproctol (2017) 21:589–590 DOI 10.1007/s10151-017-1650-8 CORRESPONDENCE Preservation of vaginal elasticity is essential for avoiding mesh complications after prolapse surgery 1 2 P. Petros P. Richardson Received: 7 May 2017 / Accepted: 24 May 2017 / Published online: 24 June 2017 Springer International Publishing AG 2017 Dear Sir, reinforcement and maintenance of vaginal elasticity. The midurethral sling tape works by precisely reinforcing the We would like to comment on the treatment rationale of pubourethral ligaments, with no effect on vaginal elasticity. pelvic organ prolapse and discuss speciﬁc issues concern- In contrast, mesh sheets placed behind vagina do not ing the role of mesh usage emerging from recent publica- reinforce any ligaments, are much larger in volume and tions in your journal [1, 2]. Pelvic ligaments support signiﬁcantly affect elasticity, sometimes critically. organs. Unlike the vagina, ligaments do not stretch sig- Many of the complications related to pelvic meshes can niﬁcantly with function, (Fig. 1). Breaking strain for liga- be explained by loss of vaginal elasticity. Pelvic tissues are 2 2 ments is 300 mg/mm and for the vagina 60 mg/mm , innervated by visceral nerves that are sensitive to stretching indicating ligaments provide primary support while the which may
Techniques in Coloproctology – Springer Journals
Published: Jun 24, 2017
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera