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Related Concept Videos

Vagina01:26

Vagina

9.2K
The vaginal canal is a tubular structure averaging about 10 cm in length that acts as the entryway to the female reproductive system and the passageway for menstrual flow and childbirth. The interior walls of the vagina exhibit concentric folds called rugae and are topped by an area known as the fornix, which connects with the protruding cervical portion of the uterus. This canal is comprised of an external fibrous layer, a muscular middle layer, and an inner lining with mucosal rugae, which...
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Related Experiment Video

Updated: Aug 28, 2025

Transvaginal Mesh Insertion in the Ovine Model
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Vaginal mesh erosion - a challenging entity.

Saroj Rajan1, Haritha Sagili1, Jaylakshmi Durairaj1

  • 129988Department of Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

Tropical Doctor
|September 22, 2022
PubMed
Summary
This summary is machine-generated.

Mesh erosion after pelvic organ prolapse (POP) surgery can be serious. This case report details the successful surgical excision of a large, infected mesh erosion, highlighting the procedure

Keywords:
Gynaecologymeshurogynaecologyvaginal surgery

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Area of Science:

  • Urogynecology and Pelvic Reconstructive Surgery

Background:

  • Pelvic organ prolapse (POP) surgery using mesh offers high anatomical cure rates but is associated with increasing mesh-related adverse events.
  • Vaginal hysterectomy is a common procedure, and mesh complications can arise postoperatively.

Observation:

  • A 45-year-old female presented with a 3x2.5 cm infected mesh erosion on the anterior vaginal wall one year after a vaginal hysterectomy performed in a camp setting.
  • Initial cystoscopy revealed no abnormalities.

Findings:

  • Surgical excision of the infected mesh erosion was successfully performed under anesthesia.
  • The procedure involved dissecting and removing the mesh, followed by freshening and approximating the vaginal edges.
  • The postoperative recovery was uneventful, with the patient discharged the following day.

Implications:

  • Surgical revision is necessary for large or multiple mesh erosions.
  • Mesh excision can be technically challenging, requiring careful dissection to manage bleeding risks.
  • A multidisciplinary approach, including urology consultation, is recommended to optimize outcomes for complex mesh complications.