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EP22.10: Study on the effects of delivery modes on the integrity and thickness of puborectalis muscle using three‐dimensional transperineal ultrasound
Author(s) -
Yue S.
Publication year - 2018
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.20145
Subject(s) - medicine , vaginal delivery , forceps delivery , caesarean section , avulsion , forceps , surgery , obstetrics , pregnancy , genetics , biology
Objectives: In this study, transperineal three-dimensional ultrasound OmniView imaging was used to image the implanted mesh and to observe the position and shape of the mesh in vivo and its positional relation with the surrounding structure, and to objectively evaluate the implanted mesh from the perspective of morphology. Methods: 16 cases of patient with pelvic organ prolapse treated with implantation of mesh were followed up 6 to 10 months after operation using trans-perineal 3-D ultrasound OmniView combined with VCI technology. Results: In this study, there were 7 cases in which the mesh was found to be abnormal, among them, 1 case invaded the bladder wall, the other 6 cases did not invade the bladder wall or rectum and anal canal wall. In these 6 cases of shrunken or folded mesh, 2 cases showed inconsistent thickness at the end and head; 4 cases showed a left-right asymmetry, one side was obviously thickened as compared to the other side, and irregular in shape. Conclusions: In this study, regardless of whether it is a flat mesh or wrinkled or folded one, the grid-like characteristics of mesh can be displayed, for the flat and straight mesh, its echo is uniform and consistent, while the wrinkled mesh has a grid-like echo that is uneven in intensity, on the transverse section, the mesh is thickened or double-layered. The transperineal three-dimensional ultrasonic OmniView-VCI technique can be used to image the polypropylene mesh, which has a better imaging effect on the wrinkled and folded mesh.