AI Article Synopsis
- The study aimed to assess how the learning experience of surgeons impacts the outcomes of bilateral anterior sacrospinous ligament suspension combined with anterior mesh repair.
- The analysis included 113 surgeries performed by three surgeons, and results showed an 87.4% success rate, with major complication rates decreasing by around 30% every ten procedures.
- Overall, while success rates and operative times remained stable, a notable reduction in complications suggests that experience plays a crucial role in improving surgical outcomes.
Article Abstract
Objective: To analyze the learning curve of bilateral anterior sacrospinous ligament suspension associated with anterior mesh repair in a single center.
Study Design: The first 113 bilateral anterior sacrospinous ligament suspensions associated with anterior mesh repair performed by three surgeons trained together in a single center were analyzed retrospectively for pre-operative, operative and post-operative data. To discover a turning point, all major complications were reported and the study population was divided into five groups of approximatively 22 interventions each, classed chronologically. Statistical analysis was carried out by the Cochran-Armitage trend test and Cox proportional hazards models. Other descriptive statistics were computed with the use of standard methods for means and proportions.
Results: Of the 103 evaluable patients (91.2%), the success rate for both anterior and apical compartments was 87.4%. The rate of major post-operative complications was 7.2% (8/111). Statistical analysis showed that the risk of major complications was reduced by approximately 30% every ten procedures (HR=0.71, 95% CI: 0.53-0.95). Success rate, operative time and hospital stay remained unchanged throughout the series. Mesh exposure rate was 3.6%.
Conclusion: Bilateral anterior sacrospinous ligament suspension associated with anterior mesh repair was associated with a learning curve to decrease the rate of major complications.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ejogrb.2012.09.004 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Adding secondary cognitive tasks to drop vertical jumps alters the landing mechanics of athletes with anterior cruciate ligament reconstruction.
J Biomech
January 2025
Department of Community Medicine and Rehabilitation, Unit of Physiotherapy, Umeå University, Umeå, Sweden. Electronic address:
Anterior cruciate ligament (ACL) reinjury rates among athletes remain very high despite screening protocols designed to assess readiness for return to sport. To better identify biomechanical risk factors for ACL injury, combining neurocognitive challenges and high-impact tasks would more closely resemble sporting demands. We investigated the influence of secondary cognitive tasks on landing mechanics during bilateral drop vertical jumps (DVJs) among athletes following ACL reconstruction and whether sex affected these results.
View Article and Find Full Text PDFFinite element analysis of the influence of perioral force on alveolar ridge healing in areas missing maxillary anterior teeth.
BMC Oral Health
January 2025
Department of Dental Implantology, Jinan Stomatological Hospital, Jinan, 250002, Shandong, People's Republic of China.
Objective: To study the biomechanical changes induced by differences in perioral force in patients with missing anterior maxillary teeth at rest via finite element analysis (FEA).
Methods: Using conical beam CT (CBCT) images of a healthy person, models of the complete maxillary anterior dental region (Model A) and maxillary anterior dental region with a missing left maxillary central incisor (Model B) were constructed. The labial and palatine alveolar bone and tooth surface of the bilateral incisor and cusp regions were selected as the application sites, the resting perioral force was applied perpendicular to the tissue surface, and the changes in maxillary stress and displacement after the perioral force was simulated were analyzed.
Understanding structural-functional connectivity coupling in patients with major depressive disorder: A white matter perspective.
J Affect Disord
January 2025
Department of Radiology, Yantai Yuhuangding Hospital, Qingdao University, Yantai, Shandong 264000, PR China; Shandong Provincial Key Medical and Health Laboratory of Intelligent Diagnosis and Treatment for Women's Diseases (Yantai Yuhuangding Hospital), Yantai, Shandong 264000, PR China; Big Data and Artificial Intelligence Laboratory, Yantai Yuhuangding Hospital, Qingdao University, Yantai, Shandong 264000, PR China. Electronic address:
Purpose: To elucidate the structural-functional connectivity (SC-FC) coupling in white matter (WM) tracts in patients with major depressive disorder (MDD).
Methods: A total of 178 individuals diagnosed with MDD and 173 healthy controls (HCs) were recruited for this study. The Euclidean distance was calculated to assess SC-FC coupling.
Correlation of Increased Lateral Tibial Slope With Baseline Tibial Position in Intact Knees and Side-to-Side Anterior Tibial Translation for Knees With ACL Tears.
Am J Sports Med
January 2025
Twin Cities Orthopedics, Edina, Minnesota, USA.
Background: Anterior cruciate ligament (ACL) stress techniques-including single-leg stress radiographs, Telos, and KT-1000 arthrometer-are highly accessible and can provide additional diagnostic information to assess ACL and ACL graft integrity. The degree of anterior tibial translation (ATT) may be useful in guiding treatment when a diagnosis on magnetic resonance imaging is not conclusive or for judging if additional treatments, such as anterolateral complex augmentation, may be necessary.
Purpose/hypothesis: The purpose of this study was to evaluate the effect of increasing posterior tibial slope (PTS) on baseline tibial position (BTP) and side-to-side differences (SSD) in ATT.
Transcranial resection of falcine meningiomas by complete endoscopy with the assistance of intraoperative ultrasound.
Neurosurg Rev
January 2025
Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Jixi Road 218, Hefei, 230022, P.R. China.
Transcranial neurosurgery assisted by endoscopy and intraoperative ultrasound (IOUS) has become an effective approach for real-time visualization and guidance during tumor resection. This study explores the application of these techniques in falcine meningioma (FM) resection, assessing their feasibility and safety. Eleven FM patients underwent transcranial endoscopic resection with IOUS assistance.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!