Netzchirurgie in der Gynäkologie

Die Verwendung alloplastischer Materialien in der Gynäkologie ist ein kontrovers diskutiertes Thema. Die Einführung des TVT (Tension-free Vaginal Tape) durch Ulf Ulmsten 1996 [1] kann vor allem in den deutschsprachigen Ländern bis heute als Erfolgsgeschichte angesehen werden. Dagegen stellt die vaginale netzunterstützte Deszensuschirurgie nach wie vor eine große Herausforderung dar, die einer differenzierten Auseinandersetzung bedarf.

Schlüsselwörter

alloplastische Materialien - Descensus genitalis - Belastungsharninkontinenz

• Literatur

• 1 Ulmsten U, Henriksson L, Johnson P. et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1996; 7: 81-85
• 2 Nygaard I, Barber MD, Burgio KL. et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008; 300: 1311-1316
• 3 Brown HW, Hegde A, Huebner M. et al. International urogynecology consultation chapter 1 committee 2: Epidemiology of pelvic organ prolapse: prevalence, incidence, natural history, and service needs. Int Urogynecol J 2022; 33: 173-187
• 4 Olsen AL, Smith VJ, Bergstrom JO. et al. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997; 89: 501-506
• 5 US Food and Drug Administration. Urogynecologic Surgical Mesh: Update on the Safety and Effectiveness of Transvaginal Placement for Pelvic Organ Prolapse. 2011 Zugriff am 15. Januar 2024 unter: http://wayback.archive-it.org/7993/20170722150849/https://www.fda.gov/downloads/MedicalDevices/Safety/AlertsandNotices/UCM262760.pdf
• 6 Ng-Stollmann N, Funfgeld C, Gabriel B. et al. The international discussion and the new regulations concerning transvaginal mesh implants in pelvic organ prolapse surgery. Int Urogynecol J 2020; 31: 1997-2002
• 7 Altman D, Rogers RG, Yin L. et al. Cancer risk after midurethral sling surgery using polypropylene mesh. Obstet Gynecol 2018; 131: 469-474
• 8 Moore KH, Shahab RB, Walsh CA. et al. Randomized controlled trial of cough test versus no cough test in the tension-free vaginal tape procedure: effect upon voiding dysfunction and 12-month efficacy. Int Urogynecol J 2012; 23: 435-441
• 9 O’Leary BD, McCreery A, Redmond AE. et al. The efficacy and complications of retropubic tension-free vaginal tapes after 20 years: A prospective observational study. BJOG 2023; 130: 107-113
• 10 Naumann G. Slings in the era of the mesh ban: now what?. Urologie 2023; 62: 165-170
• 11 Naumann G, Aigmuller T, Bader W. et al. Diagnosis and Therapy of Female Urinary Incontinence. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry No. 015/091, January 2022): Part 2 with Recommendations on Interventional/Surgical Therapy of Overactive Bladder, Surgical Treatment of Stress Urinary Incontinence and Diagnosis and Therapy of Iatrogenic Urogenital Fistula. Geburtshilfe Frauenheilkd 2023; 83: 410-436
• 12 Itkonen Freitas AM, Mentula M, Rahkola-Soisalo P. et al. Tension-free vaginal tape surgery versus polyacrylamide hydrogel injection for primary stress urinary incontinence: a randomized clinical trial. J Urol 2020; 203: 372-378
• 13 Chen L, Lisse S, Larson K. et al. Structural failure sites in anterior vaginal wall prolapse: identification of a collinear triad. Obstet Gynecol 2016; 128: 853-862
• 14 Naumann G, Hüsch T, Mörgeli C. et al. Mesh-augmented transvaginal repair of recurrent or complex anterior pelvic organ prolapse in accordance with the SCENIHR opinion. Int Urogynecol J 2021; 32: 819-827
• 15 Naumann G, Börner C, Naumann LJ. et al. A novel bilateral anterior sacrospinous hysteropexy technique for apical pelvic organ prolapse repair via the vaginal route: a cohort study. Arch Gynecol Obstet 2022; 306: 141-149
• 16 Huebner M, Krzonkalla M, Tunn R. Abdominal sacrocolpopexy – standardized surgical technique, perioperative management and outcome in women with posthysterectomy vaginal vault prolapse. Gynakol Geburtshilfliche Rundsch 2009; 49: 308-314
• 17 Shiozawa T, Huebner M, Hirt B. et al. Nerve-preserving sacrocolpopexy: anatomical study and surgical approach. Eur J Obstet Gynecol Reprod Biol 2010; 152: 103-107
• 18 Jansen AK, Ludwig S, Malter W. et al. Tacks vs. sutures: a biomechanical analysis of sacral bony fixation methods for laparoscopic apical fixations in the porcine model. Arch Gynecol Obstet 2022; 305: 631-639
• 19 DeLancey JO. Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol 1992; 166: 1717-1724
• 20 Reisenauer C, Andress J, Schoenfisch B. et al. Absorbable versus non-absorbable sutures for vaginal mesh attachment during sacrocolpopexy: a randomized controlled trial. Int Urogynecol J 2022; 33: 411-419
• 21 Bretschneider CE, Myers E, Geller EG. et al. Long-term pain after minimally invasive total hysterectomy and sacrocolpopexy. Urogynecology (Phila) 2023; 29: 144-150
• 22 Deblaere S, Hauspy J, Hansen K. Mesh exposure following minimally invasive sacrocolpopexy: a narrative review. Int Urogynecol J 2022; 33: 2713-2725
• 23 Chang CL, Chen CH, Chang SJ. Comparing the outcomes and effectiveness of robotic-assisted sacrocolpopexy and laparoscopic sacrocolpopexy in the treatment of pelvic organ prolapse. Int Urogynecol J 2022; 33: 297-308
• 24 Noé KG, Schiermeier S, Alkatout I. et al. Laparoscopic pectopexy: a prospective, randomized, comparative clinical trial of standard laparoscopic sacral colpocervicopexy with the new laparoscopic pectopexy-postoperative results and intermediate-term follow-up in a pilot study. J Endourol 2015; 29: 210-215
• 25 Dubuisson J, Eperon I, Dällenbach P. et al. Laparoscopic repair of vaginal vault prolapse by lateral suspension with mesh. Arch Gynecol Obstet 2013; 287: 307-312