Title :
Effect of surgical mesh implant in the uterine prolapse correction
Author :
Rocha, Paulo ; Parente, Marco ; Mascarenhas, Teresa ; Fernandes, Antonio ; Jorge, Renato Natal
Author_Institution :
INEGI (Inst. de Cienc. e Inovacao em Eng. Mec. e Eng. Ind.), Porto, Portugal
Abstract :
Pelvic organ prolapse (POP) is a medical condition characterized by the loss of support of the uterus, bladder or rectum, leading to its decay over the vagina. This condition affects about 75% of women from 50 years old, and about 11% of these will perform a prolapse correction surgery before being 80 years old. The most common treatment for this dysfunction is the implant of a synthetic mesh to complement the affected organ´s support failure. Therefore, the effect of the mesh implant on the uterine displacement was studied through Finite Element Models (FEM). Several simulations were performed: healthy (without mesh) and dysfunctional (including the mesh and ligament damage). The ligaments´ damage was simulated by modifying their mechanical properties. Comparing the results from the simulations, the mesh implant reduced the movement of the uterus to values closer to healthy ones.
Keywords :
biomechanics; biomedical materials; finite element analysis; gynaecology; physiological models; prosthetics; FEM; bladder; finite element models; ligament damage; organ support failure; pelvic organ prolapse; prolapse correction surgery; rectum; surgical mesh implant effects; synthetic mesh implant; uterine displacement; uterine prolapse correction; uterus; vagina; Adaptation models; Biomechanics; Bladder; Cavity resonators; Implants; Ligaments; finite element method; pelvic organ prolapse; surgical mesh;
Conference_Titel :
Bioengineering (ENBENG), 2015 IEEE 4th Portuguese Meeting on
Conference_Location :
Porto
DOI :
10.1109/ENBENG.2015.7088848