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Related Experiment Video

Updated: May 30, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Complex sacral abscess 8 years after abdominal sacral colpopexy.

Sarah A Collins1, Paul K Tulikangas, Christine A LaSala

  • 1From Hartford Hospital/University of Connecticut Health Center, Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford, Connecticut; and North Shore Long Island Jewish Health System, Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Obstetrics and Gynecology, Great Neck, New York.

Obstetrics and Gynecology
|July 20, 2011
PubMed
Summary

Sacral colpopexy can lead to rare, severe infections years after surgery. This case highlights serious infectious complications, including abscess and osteomyelitis, following mesh erosion.

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Last Updated: May 30, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

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Published on: November 8, 2024

Area of Science:

  • Urogynecology
  • Surgical Complications
  • Medical Device Safety

Background:

  • Sacral colpopexy is a standard surgical repair for pelvic organ prolapse.
  • Polypropylene mesh is commonly used in abdominal sacral colpopexy.
  • Serious complications are infrequently reported in the late postoperative period.

Observation:

  • A 74-year-old woman presented 8 years after sacral colpopexy with mesh erosion.
  • She developed severe infectious complications: infected inferior vena cava thrombus, sacral osteomyelitis, and a complex abscess.
  • Surgical findings revealed an abscess cavity surrounding the polypropylene mesh.

Findings:

  • Late-onset, severe infectious complications can arise years after sacral colpopexy.
  • Mesh erosion can serve as a nidus for extensive, deep-seated infections.
  • This case underscores the potential for rare but serious delayed morbidity.

Implications:

  • Clinicians should maintain a high index of suspicion for delayed complications after sacral colpopexy.
  • Long-term surveillance may be warranted for patients undergoing mesh repair for pelvic organ prolapse.
  • This case emphasizes the importance of monitoring for rare infectious complications years after mesh implantation.