Tag Archives: Medical Devices

Several Studies Highlight Potential Dangers Of Surgical Mesh

Surgical mesh implants were designed to address the varying degrees of pelvic or urinary discomforts that usually affect ageing women and those who have gone through childbirth: pelvic organ prolapse (POP), a condition in which the bladder or other pelvic organs (bladder, uterus, rectum) descend or protrude into the vagina, and stress urinary incontinence (SUI), a bladder leakage usually prompted by a laugh, sneeze, or a cough, medical experts say.  Also referred to as bladder slings, their hammock-like structure were devised to hold pelvic organs in place, or to provide support to the urethra to prevent episodes of leakage from SUI. 

However, along with the benefits is a list of health consequences that have reportedly drawn an uproar from numerous affected women and consumer advocates, and the scrutiny of the United States Food and Drug Administration itself. Different groups of researchers also did not fall short of varying studies that zeroed in on the less favorable effects of surgical mesh.

In 2009, Louisiana-based researchers performed a retrospective review that looked at the possible complications that may occur during and after surgical repair of POP involving the transvaginal placement of pelvic mesh. After having reviewed more than 170 cases of surgical mesh procedures for POP repair, the group of experts revealed as much as 10.2 percent rate of mesh erosion — a serious adverse effect that has been associated with infections, severe pelvic pain, and painful sexual intercourse among recipients.

Another research, which began in 2007 and consequently stopped in 2009, was reportedly conducted to compare the outcomes of traditional surgery without mesh against POP surgery using surgical mesh. The research, which appeared in an article in the journal Obstetrics & Gynecology in 2010, reportedly had more than 15 percent of cases of mesh erosion in study participants who were randomly assigned to go through POP repair using vagina mesh, causing the group to prematurely conclude the research.

Additionally, a new study, conducted by a Russian group of researchers, showed a 4.8 percent rate of mesh erosion in 586 patients who went through surgical procedure for POP repair using trocar-guided synthetic mesh.

Erosion, also known as mesh exposure or protrusion, occurs when the mesh adversely reacts with surrounding human tissue, causing it to move or find its way from where it was implanted to the nearby organs, medical experts say. It is the most common and consistent complication reported to arise from the transvaginal placement of pelvic mesh for POP repair, as was announced by the United States Food and Drug Administration in their 2011 Safety Communication. But the list does not stop short here. Click on this link to find out more about the adverse effects of surgical mesh implants.

 

 

 

 

 

 

 

 

 

 

 

 

Sources:

*nytimes.com/2010/10/26/health/research/26complications.html?_r=0

*medicalxpress.com/news/2013-03-factors-mesh-related-complications-prolapse-surgery.html

*unboundmedicine.com/medline/citation/19582383/Complications_of_transvaginal_monofilament_polypropylene_mesh_in_pelvic_organ_prolapse_repair_

*fda.gov/medicaldevices/safety/alertsandnotices/ucm262435.htm

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