Document detail
ID
doi:10.1007/s00192-023-05494-5...
Author
Mohr, Stefan Imboden, Sara Mueller, Michael D. Kuhn, AnnetteLangue
enEditor
Springer
Category
Urology
Year
2023
listing date
3/15/2023
Keywords
mesh complication minimally invasive mesh excision pelvic organ prolapse pop repeat surgery mesh video removal sacrocolpopexyAbstract
Introduction and hypothesis The objective was to demonstrate the surgical procedure of laparoscopic mesh removal after sacrocolpopexy to aid clinicians facing mesh complications.
Methods Video footage shows the laparoscopic management of mesh failure and mesh erosion after sacrocolpopexy with narrated video sequences of two patients.
Results Laparoscopic sacrocolpopexy represents the gold standard in advanced prolapse repair.
Mesh complications occur infrequently but infections, failure of prolapse repair and mesh erosions necessitate mesh removal and repeat sacrocolpopexy if applicable.
The video deals with two women referred to our tertiary referral urogynecology unit in the University Women’s Hospital of Bern, Switzerland, after laparoscopic sacrocolpopexies that were carried out in remote hospitals.
Both patients were asymptomatic more than 1 year after surgery.
Conclusions Complete mesh removal after sacrocolpopexy and repeat prolapse surgery can be challenging but is feasible and is aimed at improving patients’ complaints and symptoms.
Mohr, Stefan,Imboden, Sara,Mueller, Michael D.,Kuhn, Annette, 2023, Laparoscopic sacrocolpopexy mesh excision step-by-step, Springer
