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The study focuses on whether mesh exposure after laparoscopic sacrocolpopexy is a myth in light of the use of lightweight polypropylene mesh. The study involved 118 patients who underwent the procedure.<br /><br />The average age of the patients was 59.5 years, and the average BMI was 26.6. The majority of patients were white (98.3%) and non-Hispanic (99.1%). In terms of gravidity and parity, most patients had at least one previous pregnancy and the majority had given birth to 1-2 children.<br /><br />The study assessed various risk factors for mesh erosion. It was found that 71.2% of patients were postmenopausal, 29.3% had used vaginal estrogen preoperatively, and 23.7% were current smokers. Other risk factors such as diabetes, chronic steroid use, and COPD were less common.<br /><br />The surgeries performed included laparoscopic sacrocervicopexy (65.3% of patients), laparoscopic sacrocolpopexy (29.7%), robot-assisted laparoscopic sacrocervicopexy (4.2%), and robot-assisted laparoscopic sacrocolpopexy (0.9%). Concomitant procedures, such as anterior repair, hysterectomy, and midurethral slings, were also performed.<br /><br />A total of 230 patients underwent the procedure, but only 118 had one year of postoperative follow-up data. Preoperatively, 60.2% of patients had stage 2 prolapse and 39.8% had stage 3 prolapse.<br /><br />Overall, the study provides demographic and surgical data on patients who underwent laparoscopic sacrocolpopexy. The findings suggest that further investigation is needed to determine the risk of mesh exposure with lightweight polypropylene mesh.
Keywords
mesh exposure
laparoscopic sacrocolpopexy
lightweight polypropylene mesh
patients
age
BMI
gravidity
parity
risk factors
surgeries performed
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