Indian Journal of Urology Users online:1647  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size


 
  Table of Contents 
LETTER TO EDITOR
Year : 2013  |  Volume : 29  |  Issue : 1  |  Page : 85
 

Pelvic floor repair


Sr. Consultant, Plastic, Reconstructive and Aesthetic Surgery, Sahara Hospital, Lucknow, India

Date of Web Publication3-Apr-2013

Correspondence Address:
Surajit Bhattacharya
C- 907 Mahanagar, Secter B, Lucknow - 226 006, Uttar Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.110000

Rights and Permissions

 

How to cite this article:
Bhattacharya S. Pelvic floor repair. Indian J Urol 2013;29:85

How to cite this URL:
Bhattacharya S. Pelvic floor repair. Indian J Urol [serial online] 2013 [cited 2019 Nov 14];29:85. Available from: http://www.indianjurol.com/text.asp?2013/29/1/85/110000


Dear Sir,

I read the paper "Trans-vaginal total pelvic floor repair using customized prolene mesh: A safe and cost-effective approach for high-grade pelvic organ prolapse" by Chaturvedi et al. [1] with great interest. I congratulate the authors for presenting a reasonably large series of transvaginal pelvic reconstructive effort and have two observations.

Instead of suture passer needles, I feel a tendon tunneler could be used. This comes in both straight and curved shapes and while the former can be used to pass the anterior limbs of the proline mesh around the bladder, the latter can be used to pass the posterior limbs around the rectum. Tendon tunnelers are round tipped and hence non-traumatic and can directly catch the limbs of the proline mesh, thus obviating the extra steps of first passing a thread with suture, then tying the suture to the mesh and subsequently pulling it.

If mesh erosion still remains a potential complication, we can replace it with biological tissue. Fascia lata can be harvested in an endoscopy assisted manner and a similar template can be constructed with it using proline sutures. This will add a bit to the operating time but will further bring down the cost of this surgery.

 
   References Top

1.Chaturvedi S, Bansal R, Ranjan P, Ansari MS, Kapoor D, Kapoor R. Trans-vaginal total pelvic floor repair using customized prolene mesh: A safe and cost-effective approach for high-grade pelvic organ prolapse. Indian J Urol 2012;28:21-7.  Back to cited text no. 1
[PUBMED]  Medknow Journal  




 

Top
Print this article  Email this article
 

    

 
   Search
 
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (173 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    References

 Article Access Statistics
    Viewed1095    
    Printed21    
    Emailed0    
    PDF Downloaded44    
    Comments [Add]    

Recommend this journal

HEALTHWARE INDIA