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Updated: Jun 8, 2026
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Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Risk factors for mesh erosion complicating vaginal reconstructive surgery
1Department of Obstetrics and Gynaecology, Hinchingbrooke Hospital, Huntingdon, Cambridgeshire, UK. sayasneh@gmail.com
Summary
Synthetic mesh erosion after pelvic floor repair is a known risk. This study found concurrent vaginal hysterectomy and prior surgery increase erosion risk, highlighting the need to monitor surgical practice changes.
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
- Surgical Complications
Background:
- Synthetic mesh erosion is a recognized complication of pelvic floor repair surgery, occurring in 1-10% of patients.
- Understanding risk factors is crucial for improving patient outcomes in vaginal reconstructive surgery.
Purpose of the Study:
- To evaluate risk factors associated with synthetic mesh erosion in vaginal reconstructive surgery.
- To analyze the incidence of mesh erosion at a general district hospital.
Main Methods:
- Retrospective audit of 133 vaginal mesh reconstructive operations.
- Data collection on patient history, surgical procedures, and mesh erosion events.
Main Results:
- A total of 14 (10.53%) cases of mesh erosion were reported.
- Concurrent vaginal hysterectomy and previous vaginal reconstructive surgery were associated with increased mesh erosion rates (p < 0.05).
- Use of Safil® suture material correlated with higher Gynecare Gynemesh® erosion incidence (p < 0.05).
Conclusions:
- This audit underscores the importance of analyzing surgical outcomes following practice changes.
- Careful consideration of concurrent procedures and suture materials may help mitigate mesh erosion risk.
