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Biomechanical properties of prolapsed or non prolapsed vaginal tissue: impact on genital prolapsed surgery

type de publication      article dans une revue internationale avec comité de lecture
date de publication 2011
auteur(s) Jean-Charles Clay; Rubod Chrystèle; Brieu Mathias; Cosson Michel
journal (abréviation) International Uro-Gynaecology Journal (Int Urogynecol J)
volume (numéro) 21 (12)
  
pages 1535 – 1538
résumé Introduction and hypothesisOur aim is to characterize prolapsed and non-prolapsed vaginal tissue, and thus offer a better understanding of the genital prolapse physiopathology and an improvement of surgical treatments.MethodsVaginal tissue was collected in 30 patients with prolapse (POP) and ten fresh cadavers without prolapse (nPOP) with a favorable advice of Ethics Committee. Uniaxial tension tests were performed. Statistical comparisons of rigidity under moderate deformation and under large deformation have been performedResultsPOP is significantly stiffer than nPOP tissue, both on anterior and posterior walls. A significant difference between POP and nPOP tissues was highlighted when anterior or posterior vaginal walls were respectively compared.ConclusionsThese results might explain the higher rate of relapse when repair is autologous, using already defective and more rigid vaginal tissue. This study suggests that it might be interesting to adapt the characteristics of prosthetic implants to the vaginal face concerned by the prolapsus.
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