Reoperations for mesh-related complications after pelvic organ prolapse repair: 8-year experience at a tertiary referral center

Abstract

In a referral center the global rate of reinterventions for mesh-related complications after POP repair is 2.8%. The surgical treatment of mesh complications appears to be a safe and effective procedure with cure of the symptoms in most cases.

Mesh-related complications from reconstructive surgery for pelvic organ prolapse in Chinese patients in Hong Kong

“…Most studies reporting mesh complications have focused on the time interval between insertion of mesh and excision of the exposed mesh instead of detection of mesh exposure. 20,21 The exact location and size of the mesh exposure are sometimes inadequately reported. 14,20 Many studies have investigated mesh-related complications from mesh reconstructive surgery for pelvic organ prolapse.…”

“…20,21 The exact location and size of the mesh exposure are sometimes inadequately reported. 14,20 Many studies have investigated mesh-related complications from mesh reconstructive surgery for pelvic organ prolapse. However, there is limited information on such complications in Asian populations.…”

Place of surgery in the management of post‐operative chronic pain after placement of prosthetic material based on a series of 107 cases

“…A few published studies based on small sample sizes have reported cases of removal of prosthetic material to treat chronic postoperative pain related to either suburethral tape or inguinal hernia repair. [17][18][19][20][21][22][23][24] The present series constitutes the largest published series of removal of prosthetic material for chronic pain with acceptable results, as almost two-thirds of patients were improved.…”

Abnormal vaginal microbiome associated with vaginal mesh complications

“…31 Surgical treatment of mesh-related complications accounted for 7% of TVM procedures in our center. 32 Risk factors reported to be associated with complications included: operative technique, surgeon experience, previous prolapse repair, concomitant hysterectomy, inverted T colpotomy during concomitant hysterectomy, total vaginal mesh repair, mesh properties, younger age at the time of surgery, sexual activity, and smoking. 33 Our study was not able to identify vaginal microbiotic dysbiosis as a factor associated with mesh exposure.…”