SCIENTIFIC COMMITTEE ON EMERGING AND NEWLY IDENTIFIED HEALTH RISKS Request for a scientific opinion on “The Safety of surgical meshes

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چکیده

Surgical meshes have been used since the 1950s to repair abdominal hernias. Implantable meshes have played a significant role in the treatment of complex hernias and other abdominal wall reconstruction procedures. In the 1990s, gynecologists began using the same surgical mesh for surgical treatment of Stress Urinary Incontinence – SUI – the first procedure was called the tension free vaginal tape procedure – and was considered an alternative to the traditional surgery either using patients’ own tissue or forming a hitch of the vagina and bladder base – a so-called colposuspension. The technique designed for the treatment of SUI involved a transabdominal or transvaginal approach, which subsequently evolved into a purely vaginal approach – the so-called transobdurator tape procedure. Responding to the perceived need of the medical community, the medical devices manufacturers produced mesh kits containing the pre-shaped mesh implant(s) as well as the accessory tools needed for the placement of the device. Surgical mesh kits continue to evolve, adding new insertion tools, tissue fixation anchors, surgical techniques and absorbable and biologic materials.

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تاریخ انتشار 2014