Abstract:

BACKGROUND: Compared with traditional total hysterectomy + anterior/posterior colporrhaphy, netting material for reconstruction of female pelvic floor can better repair defects to realize structural remodeling and tissue substitution.
OBJECTIVE: To evaluate application, clinical outcomes, complications and various operation methods of biological netting material in female pelvic floor organ prolapse, and its effect on postoperative complication.
METHODS: We retrieved Wanfang Database for articles concerning biological repair plate for pelvic floor dysfunction from 1999 to 2010. The key words were “biological netting, pelvic reconstruction”. Repetitive studies, common review or Meta analysis were excluded, and 30 articles were included.
RESULTS AND CONCLUSION: The materials for pelvic reconstruction included polypropylene netting and Prolift netting, which obviously strengthened fascia on the pelvic floor after implantation of pelvic floor, reconstructed vagina and bladder fascia, rectum vagina fascia and suspended fundus of vagina, as well as recovered anatomic structure of pelvic floor organs. Moreover, the operation duration was short, and the symptom was rapidly relieved. No severe complications occurred during the operation and follow-up, and we obtained good outcomes. The materials for pelvic reconstruction are various, and the implantation method is also varied. During practical operation, corresponding measures should be obtained according to patient’s condition to reach a satisfactory effect.