BACKGROUND The tension-free hernioplasty as introduced by Lichtenstein has gained increasing acceptance during the last decade although the technique has not been evaluated in a randomized trial. METHODS This randomized study compares the 2-year follow-up results after 102 tension-free hernioplasties with implantation of a prolene mesh in all groin hernias to 53 Cooper ligament repairs in dir...

In current study, The Mesh-free method based on weak-form formulation coupled with the ultrasound imaging technique is developed. This problem consists in computing the deformation of an elastic non-homogenous phantom by numerical methods (both Mesh-free and Finite Element) and converge their results to the measured deformation by the ultrasound. The shape functions of Mesh-free are approximate...

The use of vaginal mesh in pelvic organ prolapse (POP) repair surgery has become more common in recent years. The purpose of the current study was to evaluate the common practice of Israeli urogynecologists, and to determine whether surgical practice has changed over the last two years. Methods. In 2009 and again in 2011, a survey was mailed to all urogynecologists affiliated with an academic i...

OBJECTIVE To identify predictive factors of urinary retention following a tension-free vaginal tape (TVT) procedure, so that patients may be better advised of their risk of undergoing catheterization and tape release. METHOD A retrospective review of women who underwent a TVT procedure over five years. Patient age, pressure flow rate, concomitant vaginal surgery, and the form of anesthesia us...

Hypothesis / aims of study An enterocele is a herniation of the small bowel or peritoneum protruding in the upper part of the posterior wall of the vagina. Enteroceles are often accompanied by rectoceles and may not only cause vaginal bulging symptoms, but also symptoms of obstructive defecation. Current surgical approaches for large recto-enteroceles include the laparoscopic or open rectovagin...

OBJECTIVE To compare vaginal repair augmented by mesh with traditional colporrhaphy for the treatment of pelvic organ prolapse. DESIGN Prospective randomised controlled trial. SETTING Tertiary teaching hospital. POPULATION One hundred and thirty-nine women with stage >or=2 prolapse according to the pelvic organ prolapse quantification (POP-Q) system requiring both anterior and posterior c...

Tension-free muscle closure is essential in kidney transplantation, both in adult and pediatric patients. Tight muscle closure may lead to renal transplant compartment syndrome either due to compression of the renal parenchyma or due to kinking of the renal vessels. It may also cause kinking of the transplant kidney ureter, wound dehiscence and incisional hernia. Many techniques have been propo...

Purpose. We present a case report of a woman with total POP and SUI who was treated with a technique utilizing vaginal hysterectomy followed by the placement of a four-arm synthetic polypropylene mesh implant system. Methods. An 81-year-old grand-multiparous woman presented to our clinic complaining of a vaginally protruding mass and urinary incontinence. A surgical approach including vaginal h...

The long term durability of conventional surgical repair of vaginal prolapse has been questioned in recent years. In a frequently quoted publication Olsen et al.1 estimated that the lifetime risk (up to age 80 years) of undergoing surgery for vaginal prolapse was 11%. Between 29% and 40% of prolapse surgery is for recurrence 1, 2 and in 60% of re-operations the prolapse is at the site of the or...