Su-Yen Khong1, Alan Lam. 1. Centre for Advanced Reproductive Endosurgery, AMA Building, Suite 408, Level 4, 69 Christie Street, St. Leonards, NSW 2065, Australia. su-yen@sydneycare.com.au
Abstract
INTRODUCTION AND HYPOTHESIS: mesh in pelvic reconstructive surgery is being used increasingly in clinical practice. Complications such as mesh erosion and dyspareunia can cause significant patient morbidity. In cases where vaginal mesh erosions are large or multifocal resulting in inadequate healthy epithelium for repair, this may lead to recurrent mesh erosion or vaginal stenosis. METHOD: nine patients with synthetic mesh erosion who failed to respond to conservative measures were managed surgically with Surgisis. RESULTS: the median time at which patients presented with mesh erosion was 12 weeks. The size of erosion ranged from 1 to 4 cm in diameter. At follow-up, five patients were cured, three still had evidence of mesh erosion although the overall defects were smaller, and one patient required further surgery. CONCLUSION: with mesh erosion being a troublesome reality following insertion of synthetic mesh repairs, Surgisis may prove to be a useful option in the treatment of large vaginal mesh defects.
INTRODUCTION AND HYPOTHESIS: mesh in pelvic reconstructive surgery is being used increasingly in clinical practice. Complications such as mesh erosion and dyspareunia can cause significant patient morbidity. In cases where vaginal mesh erosions are large or multifocal resulting in inadequate healthy epithelium for repair, this may lead to recurrent mesh erosion or vaginal stenosis. METHOD: nine patients with synthetic mesh erosion who failed to respond to conservative measures were managed surgically with Surgisis. RESULTS: the median time at which patients presented with mesh erosion was 12 weeks. The size of erosion ranged from 1 to 4 cm in diameter. At follow-up, five patients were cured, three still had evidence of mesh erosion although the overall defects were smaller, and one patient required further surgery. CONCLUSION: with mesh erosion being a troublesome reality following insertion of synthetic mesh repairs, Surgisis may prove to be a useful option in the treatment of large vaginal mesh defects.
Authors: Thomas J Schnoeller; Robert de Petriconi; Robert Hefty; Florian Jentzmik; Sandra Waalkes; Friedemann Zengerling; Mark Schrader; Andres J Schrader Journal: World J Surg Oncol Date: 2011-10-12 Impact factor: 2.754