Document Detail


Abdominal sacral colpopexy mesh erosion resulting in a sinus tract formation and sacral abscess.
MedLine Citation:
PMID:  15121599     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Complications associated with the use of synthetic mesh during an abdominal sacral colpopexy procedure include mesh infection and erosion into the vaginal vault and sacral osteomyelitis. CASE: This case report describes the management of an abdominal sacral colpopexy procedure that was complicated by postoperative vaginal mesh erosion, formation of a fistulous tract from the vaginal apex to the sacrum, and development of diskitis, osteomyelitis, and a sacral abscess. CONCLUSION: Treatment of a vaginal mesh erosion complicated by the formation of a sinus tract after abdominal sacral colpopexy should include extensive sinus tract resection in addition to complete mesh removal.
Authors:
Stuart R Hart; Edward B Weiser
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  103     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-05-03     Completed Date:  2004-06-04     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1037-40     Citation Subset:  AIM; IM    
Affiliation:
Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia, USA. shart@gwinnett-gyn.com
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MeSH Terms
Descriptor/Qualifier:
Abdomen
Abscess / etiology*
Adult
Discitis / etiology
Female
Gynecologic Surgical Procedures
Humans
Osteomyelitis / etiology
Polytetrafluoroethylene*
Postoperative Complications / etiology*
Sacrum
Surgical Mesh*
Uterine Prolapse / surgery
Vaginal Fistula / etiology*
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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