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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
[Infectious spondylodiscitis after a laparoscopic sacrocolpopexy: about one case]
G Descargues1, A Bouzouita, P Grise
1Centre de pelvipérinéologie, clinique Saint-Hilaire, 2, place Saint-Hilaire, 76000 Rouen, France. drdescargues@hotmail.com
Gynecologie, Obstetrique & Fertilite
|February 7, 2009
Summary
A rare case of spondylodiscitis occurred 18 months after laparoscopic sacrocolpopexy. Prompt antibiotic treatment and immobilization led to a favorable outcome, avoiding prosthetic removal.
Area of Science:
- Urogynecology
- Infectious Disease
- Surgical Innovation
Background:
- Laparoscopic sacrocolpopexy is a surgical procedure for pelvic organ prolapse.
- Postoperative infectious complications, such as spondylodiscitis, are rare but serious.
- Spondylodiscitis following pelvic reconstructive surgery requires careful management.
Observation:
- A patient developed spondylodiscitis 18 months after laparoscopic sacrocolpopexy.
- Infection was identified as Pseudomonas via needle aspiration of the disco-vertebral space.
- Clinical, biological, and MRI findings indicated a favorable evolution with treatment.
Findings:
- Adapted antibiotic treatment and immobilization were effective in managing the infection.
- The prosthetic material was not removed due to favorable clinical evolution.
- Sutures were used for fixation, avoiding staples.
Implications:
- This case highlights the possibility of late-onset spondylodiscitis after laparoscopic sacrocolpopexy.
- Conservative management with antibiotics and immobilization can be successful.
- Surgical technique, specifically fixation to the prevertebral ligament and use of sutures over staples, may influence complication rates.
