Preservation of vaginal elasticity is essential for avoiding mesh complications after prolapse surgery

Preservation of vaginal elasticity is essential for avoiding mesh complications after prolapse... 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Techniques in Coloproctology Springer Journals

Preservation of vaginal elasticity is essential for avoiding mesh complications after prolapse surgery

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Publisher
Springer International Publishing
Copyright
Copyright © 2017 by Springer International Publishing AG
Subject
Medicine & Public Health; Surgery; Gastroenterology; Proctology; Abdominal Surgery; Colorectal Surgery
ISSN
1123-6337
eISSN
1128-045X
D.O.I.
10.1007/s10151-017-1650-8
Publisher site
See Article on Publisher Site

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