Laparoscopic synthetic mesh explantation after sacrohysteropexy.
Bladder injury
Bowel injury
Laparoscopy
Mesh explantation
Pectopexy
Sacrohysteropexy
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
received:
03
12
2021
accepted:
18
02
2022
pubmed:
8
3
2022
medline:
14
7
2022
entrez:
7
3
2022
Statut:
ppublish
Résumé
In this video, we present a case of rectal and bladder injury, which occurred during laparoscopic mesh removal following sacrohysteropexy treated 6 months later with a laparoscopic pectopexy. We present the case of a 66-year-old woman with a prolapse recurrence after sacrohysteropexy. During the laparoscopic explantation of the mesh, we detected a fixation of the mesh to the bladder and the rectum rather than a fixation to the vaginal walls. Consequently, bladder and rectal injuries occurred during the dissection and were diagnosed and repaired immediately. Due to bowel injury, the treatment of the prolapse was postponed. Six months later, a laparoscopic pectopexy was performed to avoid complications during the repeated dissection of the promontory. The postoperative recovery after the pectopexy was uncomplicated with no short-term prolapse recurrence or postoperative complications. Laparoscopy appears to be an efficient approach to mesh explantation. Futhermore, laparoscopic pectopexy seems to be a good approach to secondary prolapse reconstruction after sacrohysteropexy mesh explantation avoiding complications during repeated dissection of the promontory.
Identifiants
pubmed: 35254472
doi: 10.1007/s00192-022-05141-5
pii: 10.1007/s00192-022-05141-5
doi:
Types de publication
Case Reports
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
2049-2051Informations de copyright
© 2022. The International Urogynecological Association.
Références
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