Infectious complications of promontofixation, a systematic review of the literature - 09/03/21
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Highlights |
• | Regarding the objective of our study, it is of special relevance today due to the many controversies concerning the synthetic strips used in pelviperineology. As regards the method applied, this article is a literature review type, produced according to the PRISMA methodology. Our review of the literature is completed by a meta-analysis. This is the first such review to examine the infectious complications entailed by this type of surgery. |
Abstract |
Introduction |
Surgery for genitourinary prolapse may be complicated, with postoperative infections. While promontofixation is recommended and widely used, the impact of postoperative infections has received little study. We consequently decided to review the literature to identify risk factors for infection.
Material and method |
We conducted a systematic review of the literature. PubMed, Medline and the Cochrane databases up until August 2019 were examined. The keywords were: “promontofixation”, “colpopexy”, “sacral colpopexy”, “sacrocolpopexy”. The primary outcome consisted in infectious complications. We also performed a meta-analysis using RevMan software.
Results |
Fifty-two among 1624 articles were selected. Infectious complications following promontofixation are infrequent. While few factors have been definitively associated with the occurrence of postoperative infections, associated procedures such as rectopexia or hysterectomy increase the risk of the latter. However, type of approach does not seem to affect the rate of occurrence of infectious complications.
Conclusion |
This review of the literature underscores a lack of descriptive, statistical and therapeutic data on post-promontofixation infections, which are certainly underestimated. On the other hand, it helps to identify the association of certain factors with the occurrence of postoperative infections.
Le texte complet de cet article est disponible en PDF.Keywords : Promontofixation, Colpopexy, Infection, Complication, Prolapse
Plan
Vol 51 - N° 2
P. 107-113 - mars 2021 Retour au numéro
Article précédent
- Editorial board
- Anti-infectious treatment duration: The SPILF and GPIP French guidelines and recommendations
- R. Gauzit, B. Castan, E. Bonnet, J.P. Bru, R. Cohen, S. Diamantis, A. Faye, H. Hitoto, N. Issa, D. Lebeaux, P. Lesprit, L. Maulin, D. Poitrenaud, J. Raymond, C. Strady, E. Varon, R. Verdon, F. Vuotto, Y. Welker, J.P. Stahl
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