Women with anterior compartment and/or apical prolapse a parts per thousand yenstage II underwent repair through a single anterior vaginal wall incision with the Anterior Elevate System (AES). The technique utilizes a lightweight (24 g/m(2)) type I mesh anchored to the sacrospinous ligaments via two mesh
arms with small self-fixating tips. The bladder neck portion of the graft is anchored to the obturator internus with similar selleck screening library self-fixating tips. The apical portion of the graft is adjustable to vaginal length prior to locking in place. Outcome measures included prolapse degree at last follow-up visit, intra/post-operative complications, and QOL assessments.
Sixty patients were implanted with average follow-up of 13.4 months (range 3-24 months). Mean pre-op Ba was +2.04 +/- 1.3 and C BIX 01294 purchase -2.7 +/- 2.9. Average blood loss was 47 cc and average hospital stay was 23 h. Sixty-two percent of patients had concomitant sling for SUI. Mean post-op Ba is -2.45 +/- 0.9 and C -8.3 +/- 0.9. There was no statistical difference in pre- to post-op TVL. Objective cure rate at current follow-up is 91.7% (a parts per thousand currency signstage 1). To date, there have been no mesh extrusions. No patients have reported significant buttock or leg pain. No patients have required surgical revision for any reason.
The AES is a minimally invasive
technique to treat anterior compartment and/or apical prolapse through a single vaginal incision. Initial results show the procedure to be safe and early efficacy is promising. Longer-term follow-up is ongoing.”
“Using the transfer-matrix method we have expressed the dispersion relation of a finite, N-period, one-dimensional photonic crystal in terms of a frequency dependent function g(omega) determining important features of the band structure. We have then investigated the similarities and differences between the dispersion relation of a N-period crystal and that of an infinite one for finite and large
values of the number N of unit cells. It is shown that in the frequency range where the infinite crystal has a bandgap, the dispersion relation of the finite crystal exhibits a bandgap of zero width for any value of N. The frequency omega(C). at which the null gap occurs corresponds to a zero of PD0325901 cell line g(omega) and is independent of N. Around omega(C) and for sufficiently large values of N, the group velocity attains superluminal values. These results are general enough and were used to investigate the effects of finite crystal size on the properties of the zero-(n) over bar gap in photonic crystals consisting of alternating layers of right- and left-handed materials. In this case, the frequency at which the null gap occurs is insensitive to geometrical scaling of the structure. (C) 2011 American Institute of Physics. [doi:10.1063/1.