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Nathan Goodyear

AUGS : AUGS and ACOG Committee Opinion: The Use of Vaginal Mesh for Pelvic Organ Prolap... - 0 views

  • 7% to 20%
  • mesh erosion was the most common complication, occurring in 5–19% of vaginal repairs using mesh
  • overall rate of mesh exposure was 18.8%
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    good review of data on complications of vaginal mesh surgery.  The rate of erosion found to be up to 20% in multiple studies.
Nathan Goodyear

Delivery mode shapes the acquisition and structure of the initial microbiota across mul... - 0 views

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    Study finds infants born vaginally have gut flora similar to mother's vaginal flora--Lactobacillus, Prevotella, or Sneathia species.  In contrast, those born via C/S have gut flora similar to that on the skin surface--staphylococcus, corynebacterium...
Nathan Goodyear

The normal vaginal flora, H2O2-producing lactobacilli, and bacterial vaginosis in pregn... - 0 views

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    vaginal flora.  Lactobacillus produce H202.
Nathan Goodyear

The Human Vaginal Bacterial Biota and Bacterial Vaginosis - 0 views

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    review of female vaginal microbiome.
Nathan Goodyear

Microbes on the human vaginal epithelium - 1 views

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    Lactobacillus is the predominate bacteria in the vaginal flora environment.
Nathan Goodyear

Pathological findings in explanted vaginal mesh - ScienceDirect - 0 views

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    vaginal mesh and chronic inflammation
Nathan Goodyear

Long-term risks and benefits associated with cesarean delivery for mother, baby, and su... - 0 views

  • Compared with vaginal delivery, cesarean delivery was associated with increased odds of childhood overweight
  • Cesarean delivery was also associated with increased odds of childhood obesity at up to 5 years when compared with vaginal delivery
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    Large meta-analysis out of Scottland finds that C-S versus vaginal delivery reduces urinary incontinence and pelvic organ prolapse, but is associated with an increased obesity risk of child.
Nathan Goodyear

New considerations in the use of vaginal mesh for prolapse repair. - PubMed - NCBI - 0 views

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    only abstract available here, but vaginal erosion rate found to be 7-20%.
Nathan Goodyear

Understanding the Bacterial Flora of the Female Genital Tract - 1 views

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    good review of vaginal bacterial flora
Nathan Goodyear

Mesh implants: An overview of crucial mesh parameters - 0 views

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    vaginal mesh
Nathan Goodyear

Histological Inflammatory Response to Transvaginal Polypropylene Mesh for Pelvic Recons... - 0 views

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    vaginal mesh elicits chronic foreign body reaction
Nathan Goodyear

Inflammatory Reaction as Determinant of Foreign Body Reaction Is an Early and Susceptib... - 0 views

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    vaginal mesh
Nathan Goodyear

http://ec.europa.eu/health/scientific_committees/emerging/docs/surgical_co_harris3.pdf - 0 views

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    vaginal mesh and inflammation
Nathan Goodyear

Exploring the basic science of prolapse meshes - 0 views

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    Mesh implantation, here in the vaginal area, increases both M1 and M2 maturation migration. M1 increases pro-inflammatory signaling and processes and M2 promotes remodeling/healing... Both increase, but M1 increases more than M2 proportionally. M2 can increase the bridge scaring that can occur as well as the potential for immune suppression and autoimmune/cancer implications
Nathan Goodyear

Management of Mesh Complications after SUI and POP Repair: Review and Analysis of the C... - 0 views

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    nice review of complications associated with vaginal mesh POP surgery.  The exposure rate was quoted at up to 10% by the review, but one study found the erosion rate to be 18% in slings, a much less complicated surgery compared to POP surgery.
Nathan Goodyear

http://www.ics.org/Abstracts/Publish/105/000763.pdf - 0 views

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    vaginal mesh erosion rates found to vary from 0.3% to 23% in 5 year study.
Nathan Goodyear

Fulltext | Transvaginal mesh procedures for prolapse, analyzing its outcome rates and c... - 0 views

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    erosion/extrusion rate of vaginal mesh placement is up to 17.3% in study.
Nathan Goodyear

Prospective clinical assessment of the transvaginal mesh technique for treatment of pel... - 0 views

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    only abstract available here, but vaginal mesh exposure was found in 18.8% in 5 year prospective study of 95 women.
Nathan Goodyear

International Journal of Obesity - Abstract of article: Childhood overweight after esta... - 0 views

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    the usage of antibiotics during the first 6 months of a child's life appears to be associated with an increased risk of overweight in children.  There was a slight increased association with mode of delivery (C/S worse than vaginal), but this was not statistical.
Nathan Goodyear

Gut microbe levels are linked to type 2 diabetes and obesity -- ScienceDaily - 0 views

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    Individuals with obesity and type II Diabetes been found to have significantly different gut bacteria populations compared to healthy individuals.  This is not new information.  The firmicutes:bacteroidetes ratio has been long known to be elevated in obese individuals vs those that are lean.  The question here is cause and effect.  Is the change in the bacterial population leading to obesity and type II diabetes?  Or is diabetes and obesity leading to changes in the bacterial population?  A heavy-laden carb diet is know to lead to a change to a more unhealthy gut bacterial population--maybe it is just a product of diet?  Maybe it is effected by vaginal delivery vs cesarean delivery?  Maybe breast feeding plays a role.  Maybe, all the above is required. The point is that the cause of obesity and type II diabetes may have its origins deep, deep in the...well you know. http://ow.ly/yqDML 
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