What can we learn from the vaginal mesh story?

Abstract

The use of vaginal mesh in prolapse surgery has created enormous controversy and unprecedented media interest; it has become the most emotive topic in urogynecology today. The US Food and Drug Administration 510(k) system allowed the proliferation of mesh products which were rapidly adopted by surgeons internationally. The importance of a firm understanding of the biomechanical properties of tissue and implants, surgical skill, patient selection, communication skills, informed consent, and high-quality research are all important lessons we can learn from the mesh story. These lessons need to be applied to all novel treatments in the field of urogynecology and beyond.

摘要：

阴道网片在脱垂手术中的应用引起了巨大的争议, 并受到了媒体前所未有的关注;阴道网片已成为当今妇科泌尿学最敏感的话题。美国食品和药物管理局（FDA）510(k)系统允许阴道网片产品的大量生产, 这些产品迅速地被国际上的外科医生采用。充分了解组织和植入物的生物力学特性的重要性、手术技巧、患者的选择、沟通技巧、知情同意和高质量研究, 这些都是我们可以从阴道网片发展史中学到的重要经验。这些经验需要应用于妇科泌尿学及其他领域的所有新疗法。

Keywords:

• Vaginal mesh
• midurethral sling
• prolapse
• complications
• recurrence

Conflict of interest

No potential conflict of interest was reported by the authors.

Source of funding

Nil.