Sarah A Collins1, Paul K Tulikangas, Christine A LaSala, Lawrence R Lind. 1. From Hartford Hospital/University of Connecticut Health Center, Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford, Connecticut; and North Shore Long Island Jewish Health System, Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Obstetrics and Gynecology, Great Neck, New York.
Abstract
BACKGROUND: Sacral colpopexy is an effective, durable repair for women with apical vaginal or uterovaginal prolapse. There are few reports of serious complications diagnosed in the remote postoperative period. CASE: A 74-year-old woman presented 8 years after undergoing posthysterectomy abdominal sacral colpopexy using polypropylene mesh. Posterior vaginal mesh erosion had been diagnosed several months before presentation. She suffered severe infectious complications including an infected thrombus in the inferior vena cava, sacral osteomyelitis, and a complex abscess with presacral and epidural components. Surgical exploration revealed an abscess cavity surrounding the mesh. CONCLUSION: Although minor complications commonly occur after sacral colpopexy using abdominal mesh, serious and rare postoperative infectious complications may occur years postoperatively.
BACKGROUND: Sacral colpopexy is an effective, durable repair for women with apical vaginal or uterovaginal prolapse. There are few reports of serious complications diagnosed in the remote postoperative period. CASE: A 74-year-old woman presented 8 years after undergoing posthysterectomy abdominal sacral colpopexy using polypropylene mesh. Posterior vaginal mesh erosion had been diagnosed several months before presentation. She suffered severe infectious complications including an infected thrombus in the inferior vena cava, sacral osteomyelitis, and a complex abscess with presacral and epidural components. Surgical exploration revealed an abscess cavity surrounding the mesh. CONCLUSION: Although minor complications commonly occur after sacral colpopexy using abdominal mesh, serious and rare postoperative infectious complications may occur years postoperatively.
Authors: Meghana Gowda; Laura Chang Kit; W Stuart Reynolds; Li Wang; Roger R Dmochowski; Melissa R Kaufman Journal: Int Urogynecol J Date: 2013-03-28 Impact factor: 2.894