Please use this identifier to cite or link to this item:
https://hdl.handle.net/1959.11/8232
Title: | Repair of recurrent prolapse | Contributor(s): | Reid, Richard Ian (author) | Publication Date: | 2011 | DOI: | 10.1016/j.bpobgyn.2010.12.002 | Handle Link: | https://hdl.handle.net/1959.11/8232 | Abstract: | The pathogenesis of prolapse and the requirements for a successful surgical outcome vary from one person to another. The importance of traditional risk factors is questionable, but failed previous repair is definitely an adverse prognosticator. An ideal operation should re-attach apical support to the pelvic skeleton, restore integrity within anterior and posterior suspensory hammocks and re-distribute some of the expulsive load back onto the pelvic diaphragm. Reasons for failure are best analysed by location; recurrence within the operated compartment should also be distinguished from recurrence in a different compartment. There is no all-encompassing secret to re-operating on recurrent prolapse. Success depends on sound strategic planning and using tactics to negate the greater technical difficulty and reduced collagen strength in women with prior operative failure. If an augmented repair is to be carried out, choice of biomaterials must reflect surgical objectives, movement dynamics and functional anatomy at the intended implantation site. | Publication Type: | Journal Article | Source of Publication: | Best Practice & Research: Clinical Obstetrics & Gynaecology, 25(2), p. 175-196 | Publisher: | Bailliere Tindall | Place of Publication: | Kidlington, United Kingdom | ISSN: | 1521-6934 1878-156X |
Fields of Research (FoR) 2008: | 111402 Obstetrics and Gynaecology | Socio-Economic Objective (SEO) 2008: | 920114 Reproductive System and Disorders 920119 Urogenital System and Disorders 920118 Surgical Methods and Procedures |
Peer Reviewed: | Yes | HERDC Category Description: | C1 Refereed Article in a Scholarly Journal |
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Appears in Collections: | Journal Article |
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