Lumbosacral discitis as a rare complication of laparoscopic sacrocolpopexy.
Complications
Discitis
Laparoscopic
Mesh
Sacrocolpopexy
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
25
02
2020
accepted:
05
05
2020
pubmed:
6
6
2020
medline:
24
6
2021
entrez:
6
6
2020
Statut:
ppublish
Résumé
Sacrocolpopexy is considered to be the gold-standard procedure for apical compartment prolapse. However, complications such as sacral hemorrhage, small bowel obstruction, port site herniation, mesh erosion, mesh exposure, and occasionally discitis may occur. The aim of this study is to show laparoscopic treatment of L5-S1 discitis 3 months following laparoscopic sacrocolpopexy. Two surgical interventions of a case with narrated video footage is presented. Laparoscopic sacrocolpopexy following hysterectomy in the first part and re-laparoscopy because of a diagnosis of discitis refractory to medical treatment, and removal of mesh along with anterior L5-S1 discectomy for curative debridement in the second part is demonstrated. Frequency of postoperative discitis has been increased by the widespread use of a laparoscopic approach. In order to reduce the complication rate, surgical technique allowing the needle to penetrate only the depth of the anterior longitudinal ligament and usage of monofilament suture for mesh attachment is recommended. In treatment, removal of the sacral mesh, and even extensive tissue debridement, may be necessary.
Identifiants
pubmed: 32500164
doi: 10.1007/s00192-020-04331-3
pii: 10.1007/s00192-020-04331-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2431-2433Références
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