Document Detail


Entero mesh vaginal fistula secondary to abdominal sacral colpopexy.
MedLine Citation:
PMID:  15121598     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Abdominal sacral colpopexy is a popular method for resupporting the vaginal apex. Bleeding and infection are the most common complications. We report a complication resulting in a small bowel fistula. CASE: A 48-year-old woman developed a chronic vaginal discharge 4-6 months after routine abdominal sacral colpopexy in which a velour mesh remained exposed in the pelvis. Conservative measures failed to control the intermittent copious discharge from the upper vaginal vault where the mesh was visualized. At laparotomy, an entero mesh vaginal fistula was discovered. Excellent long-term results were obtained by removal of the mesh along with resection of the involved small intestine. CONCLUSION: At the time of abdominal sacral colpopexy, we recommend that mesh not remain exposed in the pelvis.
Authors:
Michael P Hopkins; Christopher Rooney
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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:  1035-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Northeastern Ohio Universities College of Medicine, Aultman Health Foundation, Canton, Ohio 44710, USA. mhopkinds@aultman.com
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MeSH Terms
Descriptor/Qualifier:
Abdomen
Female
Gynecologic Surgical Procedures
Humans
Intestinal Fistula / etiology*
Intestine, Small
Middle Aged
Postoperative Complications / etiology*
Sacrum
Surgical Mesh*
Uterine Prolapse / surgery
Vaginal Fistula / etiology*

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


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