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Controversial Topics in the Pelvis: What's the story with Mesh?


Controversial Topics in the Pelvis: What's the story with Mesh? Banner

  • Overview
  • Faculty
  • Begin


Date & Location
Tuesday, June 2, 2020, 12:00 AM - Thursday, June 1, 2023, 11:59 PM

Overview

Internet Enduring Material sponsored by the Stanford University School of Medicine. Presented by the Obstetrics and Gynecology Department at the Stanford University School of Medicine. 

This webinar will address the history and current recommendations by the FDA for using mesh for prolapse and incontinence procedures. The speakers will describe when mesh is indicated and mesh related complications for bladder and bowel prolapse and incontinence. There will be a panel discussion and question and answer session to follow. 


Registration

  Release Date: June 02, 2020
  Expiration Date: June 01, 2023
  Estimated Time to Complete: 1 hour
  Registration Fee: FREE

*Originally recorded on 05/12/2020


Credits
AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

Target Audience
Specialties - Obstetrics & Gynecology, Urology

Objectives
At the conclusion of this activity, participants should be able to:

  1. Evaluate the current FDA recommendations on abdominal and vaginal mesh placement.
  2. Determine the various indications for mesh placement for bladder and bowel prolapse and urinary incontinence.
  3. Review risk factors for and types of mesh-related complications.

Accreditation

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation

American Medical Association (AMA)
Stanford Medicine designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Additional Information

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: http://lane.stanford.edu/portals/cultural.html

Reference/Bibliography List
Karasumi MV. Epidemiologic aspects of complete rectal prolapse. Scand J Surg. 2005;94(3):207-210
Geltzeiler, C.B. et al. Combined rectopexy and sacrocolpopexy is safe for correction of pelvic organ prolapse. Int J Colorectal Dis 33, 1453–1459 (2018)
Madiba TE, Baig MK, Wexner SD. Surgical Management of Rectal Prolapse. Arch Surg. 2005;140(1):63–73. doi:10.1001/archsurg.140.1.63
Ripstein CB. Treatment of massive rectal prolapse. Am J Surg. 1952;83:68-71
D'Hoore A, Cadoni R, Penninckx F. Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse. Br J Surg. 2004;91(11):1500-1505. doi:10.1002/bjs.4779
Sullivan ES, Longaker CJ, Lee PY. Total pelvic mesh repair: a ten-year experience. Dis Colon Rectum. 2001;44(6):857-863. doi:10.1007/BF02234709
Lee A, Kin C, Syan R, Morris A, Gurland B. Surgical decision-making for rectal prolapse: one size does not fit all [published online ahead of print, 2019 Sep 25]. Postgrad Med. 2019;1-7. doi:10.1080/00325481.2019.1669330
Saraswat L, Rehman H, Omar MI, Cody JD, Aluko P, Glazener CM. Traditional suburethral sling operations for urinary incontinence in women. Cochrane Database Syst Rev. 2020;1(1):CD001754.
Ford AA, Rogerson L, Cody JD, Aluko P, Ogah JA. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2017;7(7):CD006375. 
Laurikainen E., et al: Retropubic compared with transobturator tape placement in treatment of urinary incontinence: a randomized controlled trial. Obstet Gynecol 2007; 109: 4
Andonian S., et al .: Randomized clinical trial comparing suprapubic arch sling (SPARC) and tension-free vaginal tape (TVT): one-year results. Eur Urol 2005; 47: 537
Serati M et al. Robot-assisted sacrocolpopexy for pelvic organ prolapse: a systematic review and meta-analysis of comparative studies. Eur Urol. 2014 
Nygaard IE et al. Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol. 2004;104(4):805–23.
Serati M et al. Robot-assisted sacrocolpopexy for pelvic organ prolapse: a systematic review and meta-analysis of comparative studies. Eur Urol. 2014;66(2):303–18.
Cundiff GW et al. Risk factors for mesh/suture erosion following sacral colpopexy. Am J Obstet Gynecol. 2008;199(6):688 e1–5.
Visco AG et al. Vaginal mesh erosion after abdominal sacral colpopexy. Am J Obstet Gynecol. 2001;184(3):297–302.
Akyol A et al. Additional surgical risk factors and patient characteristics for mesh erosion after abdominal sacrocolpopexy. J ObstetGynaecol Res. 2014;40(5):1368–74.
Unger CA, Paraiso MF, Jelovsek JE, Barber MD, Ridgeway B. Perioperative adverse events after minimally invasive abdominal sacrocolpopexy. Am J Obstet Gynecol. 2014;211(5):547.e1-547.e5478. 
Anand M, Woelk JL, Weaver AL, Trabuco EC, Klingele CJ, Gebhart JB. Perioperative complications of robotic sacrocolpopexy for post-hysterectomy vaginal vault prolapse. Int Urogynecol J. 2014;25(9):1193-1200. 
Linder BJ, Anand M, Weaver AL, et al. Assessing the learning curve of robotic sacrocolpopexy. Int Urogynecol J. 2016;27(2):239-246. doi:10.1007/s00192-015-2816-4Muffly et al. Int Urogynecol J 2010
Nosseir SB, Kim YH, Lind LR, Winkler HA. Sacral osteomyelitis after robotically assisted laparoscopic sacral colpopexy. ObstetGynecol. 2010;116 Suppl 2:513-515. 
Muffly TM, Diwadkar GB, Paraiso MF. Lumbosacral osteomyelitis after robot-assisted total laparoscopic hysterectomy and sacral colpopexy. Int Urogynecol J. 2010;21(12):1569-1571. doi:10.1007/s00192-010-1187-0



The Stanford University School of Medicine adheres to ACCME Criteria, Standards and Policies regarding industry support of continuing medical education. Disclosure of faculty and their commercial relationships will be made prior to the activity.



Member Information
Role in activity
Nature of Relationship(s) / Name of Ineligible Company(s)
Bertha H Chen, MD
Professor of Ob/Gyn
Stanford Health Care (SHC)
Faculty
Advisory Board-Proctor & Gamble
Brooke Heidi Gurland, MD
Clinical Professor, Surgery - General Surgery
SHC Cancer Center
Faculty
Nothing to disclose
Kavita Mishra, MD
Stanford University
Faculty
Nothing to disclose
Lisa Rogo-Gupta, MD
Clinical Associate Professor
Stanford Health Care (SHC)
Faculty
Nothing to disclose
Eric Russell Sokol, MD
Associate Professor
School of Medicine
Faculty
Contracted Research-Cook MyoSite|Contracted Research-Coloplast|Contracted Research-Cynosure|Stock options-Pelvalon

Controversial Topics in the Pelvis: What's the story with Mesh? Module
INSTRUCTIONS:  Click the Watch Video button to watch the video. Next, click the Attestation button. Attest to your participation, view results, and complete the evaluation. After successful completion, your credit transcript will be available to view and download immediately in MY CE portal. 

Can’t find the evaluation? Click the MY CE button and select the Evaluation and Certificates tile. Select the Complete Evaluation button associated with the activity. 
Watch Video

 

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