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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
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Sacral colpopexy: long-term mesh complications requiring reoperation(s)
Emmanuelle Arsene1, Géraldine Giraudet, Jean-Philippe Lucot
1Gynecology Department, Hospital Jeanne de Flandre, University Hospital of Lille, Avenue Eugène Avinée, 59037, Lille cedex, France, emmanuelle.arsene@hotmail.fr.
International Urogynecology Journal
|October 18, 2014
Summary
Sacral colpopexy (SC) complications, such as vaginal mesh exposure, can necessitate reoperation years after the initial surgery. This study details surgical interventions for these serious mesh-related issues following SC.
Area of Science:
- Urogynecology
- Pelvic Reconstructive Surgery
- Surgical Complications
Background:
- Sacral colpopexy (SC) is a standard surgical treatment for pelvic organ prolapse.
- While effective, SC carries risks of mesh-related complications and potential need for reoperation.
- Complications can manifest years after the initial SC procedure.
Purpose of the Study:
- To evaluate the incidence and types of complications following sacral colpopexy (SC).
- To describe the surgical reinterventions required for managing these complications.
- To analyze the characteristics of patients undergoing reoperation after SC.
Main Methods:
- Retrospective monocentric study at Lille University Hospital (January 2007 - January 2013).
- Inclusion of patients who required surgery for mesh complications after SC.
- Data collection included medical history, SC technique, complication type, and reoperation details.
Main Results:
- Twenty-seven patients underwent reoperation for SC complications.
- Vaginal mesh exposures (VME) were the most common complication (19 patients).
- Other complications included intravesical mesh, dyschezia, spondylodiscitis, infection, and fistula; median time to reoperation was 3.9 years.
Conclusions:
- Sacral colpopexy complications can be serious and occur long after the initial surgery.
- Surgical interventions are described for managing these mesh-related issues.
- This case series highlights the importance of recognizing and managing delayed complications of SC.
