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No mess with mesh; vaginal natural orifice transluminal endoscopic surgery (vNOTES) autologous posterior rectus fascia mesh for vaginal urinary incontinence procedures

Baekelandt, Jan ; Vertongen, Anne Sophie ; Matak, Luka and Stuart, Andrea LU (2024) In Journal of Gynecology Obstetrics and Human Reproduction 53(8).
Abstract

Urinary incontinence affects 25–45 % of women with the gold standard surgical approach being placement of mid-urethral synthetic slings; tension-free vaginal tape (TVT) and trans-obturator tape (TOT). Due to the controversies regarding vaginal mesh the last decade, an increasing demand has evolved for incontinence treatment without vaginal synthetic mesh. The short term results of autologous rectus fascia sling for TOT surgery have shown similar success rates compared to those after the use of synthetic mesh, but the harvesting of the mesh is less minimally invasive and is associated with longer surgical time. vNOTES is a combination of a vaginal entrance to the abdomen and endoscopy via the vagina. The aim with the video is to show a... (More)

Urinary incontinence affects 25–45 % of women with the gold standard surgical approach being placement of mid-urethral synthetic slings; tension-free vaginal tape (TVT) and trans-obturator tape (TOT). Due to the controversies regarding vaginal mesh the last decade, an increasing demand has evolved for incontinence treatment without vaginal synthetic mesh. The short term results of autologous rectus fascia sling for TOT surgery have shown similar success rates compared to those after the use of synthetic mesh, but the harvesting of the mesh is less minimally invasive and is associated with longer surgical time. vNOTES is a combination of a vaginal entrance to the abdomen and endoscopy via the vagina. The aim with the video is to show a new surgical technique with a fully vaginal, scarless vNOTES approach for harvesting the posterior rectus fascia for TVT and TOT procedures.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Autologous sling, Posterior rectus fascia, TVT, vNOTES
in
Journal of Gynecology Obstetrics and Human Reproduction
volume
53
issue
8
article number
102816
publisher
Elsevier Masson SAS
external identifiers
  • pmid:38909957
  • scopus:85197344075
ISSN
2468-7847
DOI
10.1016/j.jogoh.2024.102816
language
English
LU publication?
yes
id
c383530f-d40c-4f3e-bd18-8bb34111eb41
date added to LUP
2024-09-03 13:43:40
date last changed
2024-10-29 20:25:37
@article{c383530f-d40c-4f3e-bd18-8bb34111eb41,
  abstract     = {{<p>Urinary incontinence affects 25–45 % of women with the gold standard surgical approach being placement of mid-urethral synthetic slings; tension-free vaginal tape (TVT) and trans-obturator tape (TOT). Due to the controversies regarding vaginal mesh the last decade, an increasing demand has evolved for incontinence treatment without vaginal synthetic mesh. The short term results of autologous rectus fascia sling for TOT surgery have shown similar success rates compared to those after the use of synthetic mesh, but the harvesting of the mesh is less minimally invasive and is associated with longer surgical time. vNOTES is a combination of a vaginal entrance to the abdomen and endoscopy via the vagina. The aim with the video is to show a new surgical technique with a fully vaginal, scarless vNOTES approach for harvesting the posterior rectus fascia for TVT and TOT procedures.</p>}},
  author       = {{Baekelandt, Jan and Vertongen, Anne Sophie and Matak, Luka and Stuart, Andrea}},
  issn         = {{2468-7847}},
  keywords     = {{Autologous sling; Posterior rectus fascia; TVT; vNOTES}},
  language     = {{eng}},
  number       = {{8}},
  publisher    = {{Elsevier Masson SAS}},
  series       = {{Journal of Gynecology Obstetrics and Human Reproduction}},
  title        = {{No mess with mesh; vaginal natural orifice transluminal endoscopic surgery (vNOTES) autologous posterior rectus fascia mesh for vaginal urinary incontinence procedures}},
  url          = {{http://dx.doi.org/10.1016/j.jogoh.2024.102816}},
  doi          = {{10.1016/j.jogoh.2024.102816}},
  volume       = {{53}},
  year         = {{2024}},
}