Sacral colpopexy may be complicated by mesh exposure, and the surgical treatment of mesh exposure typically results in minor postoperative morbidity and few delayed complications. A 75-year-old woman presented 7 years after a laparoscopic sacral colpopexy, with Mersilene mesh, with an apical mesh exposure. She underwent an uncomplicated transvaginal excision and was asymptomatic until 8 months later when she presented with vaginal drainage and a sacral abscess. This was successfully treated with laparoscopic enterolysis, drainage of the abscess, and explantation of the remaining mesh. Incomplete excision of exposed colpopexy mesh can lead to ascending infection and sacral abscess. Laparoscopic drainage and mesh removal may be considered in these patients.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00192-011-1630-x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Delayed Morbidity Associated With Surgical Management of Urosymphyseal Fistula.
Urology
November 2024
Mayo Clinic Department of Urology, Rochester, MN. Electronic address:
Objective: To characterize and identify factors associated with long-term morbidity of definitive urosymphyseal fistula (USF) treatment.
Methods: Retrospective chart review of a single institution database identified 57 patients who underwent operative treatment of USF between 2009 and 2022 with at least 90 days of follow-up. Delayed complications were considered those occurring ≥90 days following surgery.
Scrotal hematoma and subsequent abscess following urethral catheterisation.
BMJ Case Rep
November 2024
Department of Community Medicine, Kameyama, Mie Daigaku Daigakuin Igakukei Kenkyuka Igakubu, Tsu, Mie, Japan.
A man in his early 70s with advanced Lewy body dementia was admitted to the hospital for treatment of aspiration pneumonia and a severe sacral pressure ulcer. An indwelling urinary catheter was placedto manage urinary retention and to prevent urine contamination of the sacral ulcer.On the 25th day of hospitalisation, swelling and tenderness developed in the patient's left scrotum.
View Article and Find Full Text PDFEfficacy and Safety of a New Technique Combining Injection Sclerotherapy and External Hemorrhoidectomy for Prolapsed Hemorrhoids: A Single-center Observational Study.
J Anus Rectum Colon
October 2024
Department of Gastroenterology, Kunimoto Hospital, Asahikawa, Japan.
Objectives: To date, there have been no reports on the long-term effects of a method that combines external hemorrhoidectomy with aluminum potassium sulfate and tannic acid (ALTA) sclerotherapy. This study aimed to investigate the efficacy and safety of external hemorrhoidectomy combined with ALTA sclerotherapy (EA) in reducing postoperative complications associated with conventional hemorrhoidectomy.
Methods: EA was performed under sacral epidural anesthesia, and ALTA sclerotherapy was applied to the remaining internal hemorrhoids after resection of the external hemorrhoids.
Anal canal duplication with heterotopic gastric mucosa and anal stenosis: first case report and literature review.
Front Pediatr
September 2024
Department of Pediatric Surgery, Binzhou Medical University Hospital, Binzhou, Shandong, China.
Introduction: Anal canal duplication (ACD) is a rare entity of gastrointestinal duplication that may be asymptomatic or present complications, such as abscess, fistulae, or malignant changes. The diagnosis and rational management of ACD still need to be clarified.
Case Presentation: We present a case of an 18-month-old girl with intractable perianal erosion and painful bowel movements for one year, and chronic constipation for six months.
Whole spinal pneumorrhachis following perforation of the rectum: A case report.
Radiol Case Rep
October 2024
Department of Neurosurgery (Spinal surgery), Shin-Kuki General Hospital, Kamihayami 418-1, Kuki, Saitama, Japan.
Article Synopsis
- - A 68-year-old man with a history of ulcerative colitis underwent a total proctocolectomy and later presented with symptoms including fever and diarrhea, leading to the discovery of whole spinal pneumorrhachis via a CT scan, which is a rare condition.
- - The CT results showed extensive air in the spinal canal from the cervical to sacral regions, which was linked to a perforation of the rectal anastomosis and a retroperitoneal abscess.
- - Treatment included antibiotics, and follow-up imaging indicated that the abscess area decreased in size; the occurrence of spinal pneumorrhachis from colon or rectum perforation is very uncommon, with only six similar cases documented in medical
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!