Abstract:

OBJECTIVE: To summarize the complications and their prevention following pelvic reconstruction with synthetic materials.
METHODS: A computer-based search for synthetic materials used in pelvic reconstruction published from January 2006 to December 2010 was performed using key words of “tissue engineering, pelvic reconstruction, synthetic materials, complication, prevention”. Repetitive articles or Meta-analysis were excluded. Totally 12 articles were included.
RESULTS: Synthetic materials for pelvic reconstruction lead to several complications to different extent, such as vaginal foreign body sensation, vaginal infection, erosion. The pathogenesis of vaginal erosion due to synthetic materials is still unclear. Most scholars believe that it may be related to infection, large tension to place synthetic materials, impact on vaginal and urethral blood circulation and type of synthetic materials. The mesh transplanted under a tension-free state can reduce the incidence of vaginal erosion.
CONCLUSION: Rigorous preoperative preparation, careful operation and refined postoperative treatment and follow-up can help to prevent and reduce the incidence of vaginal erosion due to synthetic materials.