Mohr, Stefan; Imboden, Sara; Mueller, Michael D; Kuhn, Annette (2023). Laparoscopic sacrocolpopexy mesh excision step-by-step. International urogynecology journal, 34(8), pp. 1987-1989. Springer 10.1007/s00192-023-05494-5
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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.
Item Type: |
Journal Article (Further Contribution) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology |
UniBE Contributor: |
Mohr, Stefan, Imboden, Sara, Mueller, Michael, Kuhn, Annette |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1433-3023 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
13 Mar 2023 13:59 |
Last Modified: |
12 Aug 2023 00:12 |
Publisher DOI: |
10.1007/s00192-023-05494-5 |
PubMed ID: |
36897370 |
Uncontrolled Keywords: |
Mesh complication Minimally invasive mesh excision POP Pelvic organ prolapse Repeat surgery |
BORIS DOI: |
10.48350/179895 |
URI: |
https://boris.unibe.ch/id/eprint/179895 |
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