Christine A LaSala1, Megan O Schimpf. 1. Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital, Hartford, Connecticut, USA. clasala@harthosp.org
Abstract
BACKGROUND: Mesh-augmented repair kits are increasingly being used for anterior compartment defect repair and can be associated with complications. CASES: Two cases are presented of postoperative pelvic hematomas confirmed on computerized tomography scan after anterior repair with a mesh-augmented anterior vaginal prolapse repair system. Both resolved without requiring drainage, although one patient did require a blood transfusion, and the other required intravenous antibiotics to treat an infected hematoma. CONCLUSION: Significant complications may arise from this new technology. Further studies are needed to determine whether the benefits of this technology outweigh its risk of use.
BACKGROUND: Mesh-augmented repair kits are increasingly being used for anterior compartment defect repair and can be associated with complications. CASES: Two cases are presented of postoperative pelvic hematomas confirmed on computerized tomography scan after anterior repair with a mesh-augmented anterior vaginal prolapse repair system. Both resolved without requiring drainage, although one patient did require a blood transfusion, and the other required intravenous antibiotics to treat an infected hematoma. CONCLUSION: Significant complications may arise from this new technology. Further studies are needed to determine whether the benefits of this technology outweigh its risk of use.
Authors: Daniel Altman; Tapio Väyrynen; Marie Ellström Engh; Susanne Axelsen; Christian Falconer Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2008-06