David Shaker1. 1. Rockhampton Base Hospital, University of Queensland, Suite 4, Hillcrest Specialist Centre, Talford Lane, Rockhampton 4700, Qld, Australia. davidshaker@bigpond.com
Abstract
UNLABELLED: HYPOTHESIS AND INTRODUCTION: Management of vaginal mesh erosion can be conservative, but in a large proportion of patients, excision/trimming of the mesh is needed. This paper describes a technique using an intervening vulval pad of fat graft between the vaginal epithelium and the mesh as an alternative to excision. MATERIALS AND METHODS: Three cases are presented where vaginal mesh erosion was treated using an intervening vulval pad of fat as a graft to cover polypropylene mesh erosion, and the technique is described. RESULTS: There were no intraoperative complications. All patients reported no further symptoms at follow-up, and examination revealed no further mesh erosions. CONCLUSION: The use of intervening graft of vulval fat can be an alternative to excision in the management of patients with vaginal mesh erosion.
UNLABELLED: HYPOTHESIS AND INTRODUCTION: Management of vaginal mesh erosion can be conservative, but in a large proportion of patients, excision/trimming of the mesh is needed. This paper describes a technique using an intervening vulval pad of fat graft between the vaginal epithelium and the mesh as an alternative to excision. MATERIALS AND METHODS: Three cases are presented where vaginal mesh erosion was treated using an intervening vulval pad of fat as a graft to cover polypropylene mesh erosion, and the technique is described. RESULTS: There were no intraoperative complications. All patients reported no further symptoms at follow-up, and examination revealed no further mesh erosions. CONCLUSION: The use of intervening graft of vulval fat can be an alternative to excision in the management of patients with vaginal mesh erosion.
Authors: A G Visco; A C Weidner; M D Barber; E R Myers; G W Cundiff; R C Bump; W A Addison Journal: Am J Obstet Gynecol Date: 2001-02 Impact factor: 8.661
Authors: X Deffieux; R de Tayrac; C Huel; J Bottero; A Gervaise; K Bonnet; R Frydman; H Fernandez Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2006-01-04
Authors: X Deffieux; C Huel; R de Tayrac; J Bottero; R Porcher; A Gervaise; K Bonnet; R Frydman; H Fernandez Journal: J Gynecol Obstet Biol Reprod (Paris) Date: 2006-11