Comparison of different textile implants to correct apical prolapse

What is it about?

The vaginal vault prolapse in multiparous older women after hysterectomy is caused by weak support from completely or partially dissected apical ligaments during hysterectomy. Minimally invasive surgery using different prosthetic (textile) mesh implants are widely used to treat such situations. Finite element simulations are helpful to understand the physiology after surgery and to predict the success and failure of the surgical interventions.

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Why is it important?

Various minimally invasive surgery such as laparoscopic sacrocolpopexy, pectopexy and cervicosacropexy are performed for the treatment of the vaginal vault prolapse using prosthetic implants to strengthen lax apical ligaments. Depending on the patient's anatomy and the surgeon's preference, implants of different shapes, sizes and polymers can be selected during surgery. In this article, the novel pectopexy technique is simulated in a 3D finite element model of the female pelvic floor. Organ positions are crucial for the functioning of the pelvic organs and are calculated at rest after repair and during increased abdominal pressure.

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