Academic Journal
Trends in urogynecology : transvaginal mesh surgery in Germany
| العنوان: | Trends in urogynecology : transvaginal mesh surgery in Germany |
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| المؤلفون: | Degirmenci, Yaman, Stewen, Kathrin, Dionysopoulou, Anna, Schiestl, Lina Judit, Hofmann, Konstantin, Skala, Christine, Hasenburg, Annette, Schwab, Roxana |
| المصدر: | Journal of Clinical Medicine. 13. 4. 2024. -. -. 987 |
| بيانات النشر: | Johannes Gutenberg-Universität Mainz |
| سنة النشر: | 2024 |
| المجموعة: | Gutenberg Open (Johannes Gutenberg Universität Mainz - JGU) |
| مصطلحات موضوعية: | ddc:610 |
| الوصف: | Background: Pelvic organ prolapse constitutes a prevalent condition associated with a considerable impact on the quality of life. The utilization of transvaginal mesh surgery for managing POP has been a subject of extensive debate. Globally, trends in TVM surgery experienced significant shifts subsequent to warnings issued by the FDA. Methods: This study aims to explore temporal patterns in transvaginal mesh surgery in the German healthcare system. A comprehensive analysis was conducted on in-patient data from the German Federal Statistical Office spanning 2006 to 2021. A total of 1,150,811 operations, each associated with specific codes, were incorporated into the study. Linear regression analysis was employed to delineate discernible trends. Results: The trends in transvaginal mesh surgery within the anterior compartment exhibited relative stability (p = 0.147); however, a significant decline was noted in all other compartments (posterior: p < 0.001, enterocele surgery: p < 0.001). A subtle increasing trend was observed for uterine-preserving transvaginal mesh surgery (p = 0.045). Conclusion: Surgical trends over the specified timeframe demonstrate how POP management has evolved globally. Notably, despite observed fluctuations, transvaginal mesh surgery remains a viable option, particularly for specific cases with a high risk of relapse and contraindications to alternative surgical approaches. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.25358/openscience-10865 |
| الاتاحة: | https://openscience.ub.uni-mainz.de/handle/20.500.12030/10884 https://hdl.handle.net/20.500.12030/10884 https://doi.org/10.25358/openscience-10865 |
| Rights: | CC BY ; https://creativecommons.org/licenses/by/4.0/ ; openAccess |
| رقم الانضمام: | edsbas.63020AF1 |
| قاعدة البيانات: | BASE |
| DOI: | 10.25358/openscience-10865 |
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