Abstract:
OBJECTIVES:To characterize pain and exposure after Prolift placement and identify risk factors. METHODS:A case series of women who underwent Prolift vaginal mesh were surveyed. Pain was assessed using a visual analog scale. Exposure was evaluated clinically. RESULTS:Of 183 eligible patients, 160 completed the survey, and 45 returned for examination. Mean preoperative pain score was 0.97 and postoperative was 1.35 (P = 0.12). Pre- and postoperative pain scores by compartment were: anterior (1.34 vs 1.25, mean change -0.09, P = 0.84), posterior (1.30 vs 1.56, mean change 0.26, P = 0.72), and total (0.63 vs 1.34, mean change 0.71, P = 0.05). Graft exposure was confirmed in 23 of 183 patients (12.6%); however, because asymptomatic patients were not examined, the true exposure rate may be underestimated. Hematoma formation is independently associated with mesh exposure, adjusted odds ratio 18.4 (95% confidence interval 3.4-147.4, P = 0.01). CONCLUSIONS:Although pain scores did not increase overall, there was a trend toward increased pain score in the patients with total (anterior and posterior) Prolift. Hematoma formation was significantly associated with mesh exposure.
journal_name
South Med Jjournal_title
Southern medical journalauthors
Illston JD,Garris JB,Richter HE,Wheeler TL 2nddoi
10.14423/SMJ.0000000000000377subject
Has Abstractpub_date
2015-12-01 00:00:00pages
715-21issue
12eissn
0038-4348issn
1541-8243pii
SMJ50103journal_volume
108pub_type
杂志文章abstract::This is a case which highlights unique diagnostic challenges in the evaluation of a previously healthy patient presenting with a myelopathy initially most concerning for malignancy. However, timely recognition and nonoperative therapy of unexpected spinal sarcoidosis with corticosteroidal therapy was crucial in averti...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/SMJ.0b013e3181e90745
更新日期:2010-09-01 00:00:00
abstract::Review of 185 consecutive Muller total hip arthroplasties five to nine years after operation showed that 14 patients had died and that three deaths were directly related to the surgery. Of these, 37 patients (54 hips) could not be located and were excluded. Another patient, nonambulatory for an unrelated cause, was al...
journal_title:Southern medical journal
pub_type: 杂志文章
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更新日期:1982-08-01 00:00:00
abstract::Asbestos is a versatile fibrous mineral that can cause lung disease and death. Asbestosis, benign pleural disease, lung cancer, and mesothelioma can all result from inhaling asbestos. The history of disease and exposure risks are discussed. The difficult assessment of risk and the long latency period for development o...
journal_title:Southern medical journal
pub_type: 杂志文章,评审
doi:10.1097/00007611-199206000-00009
更新日期:1992-06-01 00:00:00
abstract::We have described a patient with a biopsy-proven mucoepidermoid carcinoma of the orbit. Although it may have represented a metastasis from a malignancy of the upper respiratory tract, clinically it appeared to be a primary neoplasm of the lacrimal gland. This case emphasizes the value of transmission electron microsco...
journal_title:Southern medical journal
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journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199808000-00008
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVES:Accurate and consistent documentation of pain management, including patient responses regarding improvement in pain scores, is essential for improving patient care. The objective of the project was to evaluate the current prescribing patterns and to review the current documentation for opioid-managed, chroni...
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journal_title:Southern medical journal
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journal_title:Southern medical journal
pub_type: 杂志文章
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journal_title:Southern medical journal
pub_type: 杂志文章
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更新日期:1981-05-01 00:00:00
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journal_title:Southern medical journal
pub_type: 杂志文章
doi:
更新日期:1976-11-01 00:00:00
abstract::Of 239 patients with erectile dysfunction (aged 36 to 70 years) who were evaluated with dynamic infusion cavernosometry-cavernosography, 32 (13.4%) developed priapism after the procedure and were successfully managed with immediate intracorporal injection of phenylephrine. No single risk factor for the development of ...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199311000-00016
更新日期:1993-11-01 00:00:00
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journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198309000-00016
更新日期:1983-09-01 00:00:00
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journal_title:Southern medical journal
pub_type: 历史文章,杂志文章
doi:10.1097/00007611-198705000-00027
更新日期:1987-05-01 00:00:00
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journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199101000-00005
更新日期:1991-01-01 00:00:00
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journal_title:Southern medical journal
pub_type: 杂志文章,评审
doi:10.1097/00007611-198811000-00005
更新日期:1988-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/00007611-199401000-00013
更新日期:1994-01-01 00:00:00
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journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-197710000-00017
更新日期:1977-10-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
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journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199307000-00017
更新日期:1993-07-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:1987-08-01 00:00:00
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journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-197511000-00020
更新日期:1975-11-01 00:00:00
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journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198311000-00018
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pub_type: 杂志文章
doi:10.1097/00007611-197906000-00027
更新日期:1979-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/00007611-197505000-00008
更新日期:1975-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/00007611-198310000-00006
更新日期:1983-10-01 00:00:00
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journal_title:Southern medical journal
pub_type: 杂志文章
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更新日期:1999-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:1981-11-01 00:00:00