The Follow-up of Mesh/Native Tissue Complications Study(Part II)

Peking Union Medical College Hospital1,530 enrolled

Overview

To study the incidence and distribution of complications after different pelvic reconstruction surgeries (mesh/native tissue) in multi-centers. The investigators aimed to report and summarize the postoperative complications diagnosed in the prior 1 year, 3 years and 5 years respectively, according to the International Urogynecological AssociationInternational Continence Society(IUGA-ICS) Complication Classification Coding(Category-Time-Site coding system) .

Patients are inferred to 27 tertiary hospitals with the complaint of de novo complications after pelvic reconstructive surgeries using mesh, tape and native tissue between June 2018 and June 2023. The subjects include patients who accept treatment not only at 27 participating hospitals but also from other hospital. And the date of surgeries carried is not restricted in the study period. This is a study of real world. The researchers focus to investigate the incidence of complications in clinical practice.

Study Type

OBSERVATIONAL

Enrollment

1,530

Conditions

Pelvic Organ Prolapse

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 1\) Patients are inferred to the clinic with the complaint of de novo complications after pelvic reconstructive surgeries with mesh,tape or native tissue. * 2\) Pelvic reconstructive surgeries include but not limited to open/laparoscopic sacrocolpopexy (Y-shape tape/self-cut synthesized mesh), anterior, apical, posterior or total pelvic reconstruction with trans-vaginal mesh(commercial mesh kits or self-cut synthesized mesh), repair using native tissue(sacrospinous ligament fixation, high uterosacral ligament suspension, ischial spinous fascia fixation, the Lefort operation) and as well as anti-urinary incontinence surgeries(tension-free vaginal tape). * 3\) Both primary and repeated pelvic surgery are included. Exclusion Criteria: * If the same patient who developed complications after pelvic floor reconstructive surgeries has been diagnosed and reported in 27 participating hospitals, and again treated for "the same code complication in other 26 hospitals, she will be ruled out.

Locations (5)

First Affiliated Hospital of PLA General Hospital (304)

Beijing, Beijing Municipality, China

RECRUITING

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

RECRUITING

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Outcomes

Primary Outcomes

The frequency and ratio of different postoperative complications

Calculate the frequency(reported in number of cases) and ratio(reported in percentage, %) of different complications reported from 27 tertiary hospitals in the past year or 3 years or 5 years, respectively.The complications occurred after pelvic reconstructive surgeries, especially mesh/native tissue related,are classified by IUGA-ICS CTS(category-time-site)coding system.

Time frame: 1-year;3-year;5-year

Secondary Outcomes

The distribution of complications after each kind of pelvic reconstructive surgery

For each kind of surgery,the distribution of different postoperative complications, classified by the IUGA-ICS coding system, is expressed in frequency (reported in number of cases) and ratio(reported in percentage, %).

Time frame: 1-year;3-year;5-year

The percentage of various pelvic reconstructive surgeries under the same complication classification coding.

Analyze and calculate the percentage of different surgical method when they present the complication with the same IUGA-ICS coding.

Time frame: 1-year;3-year;5-year

Central Contacts

Shuo Liang, MD

CONTACT

+86 13718879529 leahleung@foxmail.com

Lan Zhu, MD

CONTACT

+86 123911714696 zhu_julie@vip.sina.com

Data from ClinicalTrials.gov

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