Risk of Mesh Extrusion and Other Mesh-Related Complications After Laparoscopic Sacral Colpopexy with or without Concurrent Laparoscopic-Assisted Vaginal Hysterectomy: Experience of 402 Patients

Stepanian, A.A.; Miklos, John R.; Moore, Robert D.; Mattox, T. Fleming

doi:10.1016/j.jmig.2007.11.006

Cited by 111 publications

(60 citation statements)

References 28 publications

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“…Causative factors for mesh exposure after sacral colpopexy include the use of meshes other than type I, vaginal atrophy, suture/mesh placement over de-vascularized tissue (vaginal cuff), and mesh placed under tension [4]. Methods to try to prevent mesh exposure include administering vaginal estrogen cream to bolster the tissues, careful suture placement, macroporous mesh use, and placing the mesh in a tensionfree fashion.…”

Section: Discussionmentioning

confidence: 99%

“…The interval between sacral colpopexy and the first symptoms of mesh exposure vary, but typically are seen in the first 2 years with an extreme of 7 years [5] as in our case. Sacral abscess, sinus tract formation, osteomyelitis, and neurologic sequelae are also reported after sacral colpopexy [4,6] complicated by mesh exposure. Recently, a case of sacral osteomyelitis was reported in the absence of mesh exposure or other fistula tract formation [7].…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic mesh explantation and drainage of sacral abscess remote from transvaginal excision of exposed sacral colpopexy mesh

Roth

Reight

2012

Int Urogynecol J

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Sacral colpopexy may be complicated by mesh exposure, and the surgical treatment of mesh exposure typically results in minor postoperative morbidity and few delayed complications. A 75-year-old woman presented 7 years after a laparoscopic sacral colpopexy, with Mersilene mesh, with an apical mesh exposure. She underwent an uncomplicated transvaginal excision and was asymptomatic until 8 months later when she presented with vaginal drainage and a sacral abscess. This was successfully treated with laparoscopic enterolysis, drainage of the abscess, and explantation of the remaining mesh. Incomplete excision of exposed colpopexy mesh can lead to ascending infection and sacral abscess. Laparoscopic drainage and mesh removal may be considered in these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Laparoscopic mesh explantation and drainage of sacral abscess remote from transvaginal excision of exposed sacral colpopexy mesh

Roth

Reight

2012

Int Urogynecol J

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show abstract

“…Agarwala 2008) also looked at mesh exposure rates associated with use of macroporous polypropylene mesh. In this cohort of 402 patients who underwent a laparoscopic sacral colpopexy with and without concurrent hysterectomy, authors concluded a low mesh exposure rate of 1.2 % without differences in regards to concurrent laparoscopic-assisted hysterectomy [39]. Experts therefore recommend use of a Type I macroporous monofilament synthetic polypropylene mesh based on relatively low complications [30].…”

Section: Laparoscopic Sacral Colpopexy/sacrocolpopexymentioning

confidence: 99%

Minimally Invasive Pelvic Reconstructive Surgery: A Literature Review of Laparoscopic Surgery for Pelvic Organ Prolapse

Takase-Sanchez

Hale

2013

Curr Obstet Gynecol Rep

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Pelvic reconstructive surgery for pelvic organ prolapse includes transvaginal, open, laparoscopic, and roboticassisted approaches. Laparoscopy has established a significant role in minimally invasive surgery across surgical disciplines. In pelvic surgery, although the vaginal approach may offer the most native route to a minimally invasive technique, advances in gynecologic laparoscopy have reported advantages over traditional routes maintaining safety, efficacy, and high patient satisfaction. Majority of current data is limited to descriptive case series and retrospective data that nonetheless continue to support the laparoscopic approach as a reasonably safe alternative to open and vaginal approaches. Few prospective, clinical trials have compared the safety, efficacy, and costeffectiveness of various approaches and surgical techniques highlighting challenges in the utility of robotic-assistance and vaginal graft placement. This literature review provides a summary of important historical and current data in regards to surgical technique and clinical outcomes of advanced pelvic laparoscopy for pelvic organ prolapse.

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“…Le Tableau 2 montre les taux de réintervention (taux global et taux de réintervention spécifique à des complications prothétiques) pour la promontofixation coelioscopique [11,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44].…”

Section: Réintervention Après Chirurgie Prothétique Par Voie Abdominaleunclassified

Prévenir les complications de la chirurgie prothétique du prolapsus : recommandations pour la pratique clinique – Revue de la littérature

Deffieux

Savary

Letouzey

et al. 2011

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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Risk of Mesh Extrusion and Other Mesh-Related Complications After Laparoscopic Sacral Colpopexy with or without Concurrent Laparoscopic-Assisted Vaginal Hysterectomy: Experience of 402 Patients

Cited by 111 publications

References 28 publications

Laparoscopic mesh explantation and drainage of sacral abscess remote from transvaginal excision of exposed sacral colpopexy mesh

Laparoscopic mesh explantation and drainage of sacral abscess remote from transvaginal excision of exposed sacral colpopexy mesh

Minimally Invasive Pelvic Reconstructive Surgery: A Literature Review of Laparoscopic Surgery for Pelvic Organ Prolapse

Prévenir les complications de la chirurgie prothétique du prolapsus : recommandations pour la pratique clinique – Revue de la littérature

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