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Updated: Jun 27, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Laparoscopic removal of infected mesh colposacropexy
M Sami Walid1, Neena Agarwala, Richard L Heaton
1Medical Center of Central Georgia, 840 Pine Street, Suite 880, Macon, GA 31201, USA. mswalid@yahoo.com
Abstract:
Mesh colposacropexy is a procedure performed for massive genital prolapse with a good success rate and a low incidence of intraoperative and postoperative complications. Mesh infection is an uncommon but feared complication that requires mesh removal which has hitherto been done only transvaginally or through laparotomy. We are reporting three cases of infected mesh colposacropexies which were successfully removed using the laparoscopic technique.
Insights
Laparoscopic surgery offers a minimally invasive option for removing infected mesh after colposacropexy for massive genital prolapse. This technique successfully treated three patients, avoiding traditional open or transvaginal approaches.
Area of Science:
- Gynecology
- Surgical Innovation
- Pelvic Floor Disorders
Background:
- Colposacropexy using mesh is a standard treatment for massive genital prolapse.
- While generally successful, mesh infection is a rare but serious complication.
- Current mesh removal methods include transvaginal or laparotomy approaches.
Observation:
- Three cases of infected mesh colposacropexies were identified.
- These infections necessitated mesh removal.
- Laparoscopic techniques were employed for the removal process.
Findings:
- Successful laparoscopic removal of infected mesh colposacropexy was achieved in all three cases.
- This demonstrates the feasibility and efficacy of the laparoscopic approach.
- Patient outcomes following laparoscopic removal were positive.
Implications:
- Laparoscopic mesh removal presents a viable alternative to traditional methods for infected colposacropexy.
- This approach may offer benefits such as reduced invasiveness and potentially faster recovery.
- Further research into laparoscopic techniques for managing mesh complications is warranted.
