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Laparoscopic mesh explantation and drainage of sacral abscess remote from transvaginal excision of exposed sacral colpopexy mesh

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Abstract

Sacral colpopexy may be complicated by mesh exposure, and the surgical treatment of mesh exposure typically results in minor postoperative morbidity and few delayed complications. A 75-year-old woman presented 7 years after a laparoscopic sacral colpopexy, with Mersilene mesh, with an apical mesh exposure. She underwent an uncomplicated transvaginal excision and was asymptomatic until 8 months later when she presented with vaginal drainage and a sacral abscess. This was successfully treated with laparoscopic enterolysis, drainage of the abscess, and explantation of the remaining mesh. Incomplete excision of exposed colpopexy mesh can lead to ascending infection and sacral abscess. Laparoscopic drainage and mesh removal may be considered in these patients.

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Conflicts of interest

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Authors and Affiliations

  1. Women’s Specialty Center/Bladder Control Center, Central Maine Medical Center, Lewiston, ME, 04240, USA

    Ted M. Roth

  2. Department of General and Trauma Surgery, Central Maine Medical Center, Lewiston, ME, 04240, USA

    Ian Reight

Authors
  1. Ted M. Roth
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  2. Ian Reight
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Correspondence to Ted M. Roth.

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Roth, T.M., Reight, I. Laparoscopic mesh explantation and drainage of sacral abscess remote from transvaginal excision of exposed sacral colpopexy mesh. Int Urogynecol J 23, 953–955 (2012). https://doi.org/10.1007/s00192-011-1630-x

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  • DOI: https://doi.org/10.1007/s00192-011-1630-x

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