Science Letters

Effects of Biological Mesh in Pelvic Reconstructive Surgery

Pradhan Sushma, Li Huai-Fang*

Department of Obstetrics and Gynecology, Tongji Hospital affiliated to Tongji University School of Medicine, Shanghai 200065, China

Abstract

New techniques are also being introduced in the field of gynecology with the advancements to new technologies in all fields. The rate of pelvic floor disorders like pelvic organ prolapse and urine incontinence is increasing; pelvic reconstructive surgery is being evolved with the use of biological and synthetic meshes. This review aims to provide an overview and effects of biological meshes on pelvic reconstructive surgery. Various published research articles and reviews were searched on the World Wide Web, studied and then selected on the basis of the topic. According to various different randomized controlled studies, biological meshes are found to be ineffective in anterior vaginal wall repair and abdominal sacrocolpopexy for vaginal vault repair. Use of biological mesh in the treatment of rectocele is also in controversy. Mid urethral slings are most commonly used for the treatment of stress urinary incontinence. Biological meshes are expensive, inconvenient and also lead to treatment failure, increased reoperation rate and transmission of infection, so its usage is decreasing. Instead, synthetic polypropylene mesh is being used even it may also lead to complications like erosion, pain, extrusion, dyspareunia.

Keywords: Biological mesh; cystocele; pelvic organ prolapse; rectocele; stress urinary incontinence.

Received August 22, 2015 Accepted November 25, 2015 Abstract Published December 15, 2015 Manuscript Published April 15, 2016

*Corresponding author Huai-Fang Li Tel +862156051080 Email huaifangli@126.com