Laparoscopy-like operative vaginoscopy: a new approach to manage mesh erosions.
J Minim Invasive Gynecol
; 22(1): 10, 2015 Jan.
Article
em En
| MEDLINE
| ID: mdl-25218994
ABSTRACT
STUDY OBJECTIVE:
Mesh erosion through the vagina is the most common complication of synthetic mesh used for pelvic organ prolapse repair. However, conventional transvaginal mesh excision has many technical limitations. We aimed at creating and describing a new surgical technique for transvaginal removal of exposed mesh that would enable better exposition and access, thus facilitating optimal treatment.DESIGN:
A step-by-step video showing the technique.SETTING:
A university tertiary care hospital. PATIENTS Five patients previously submitted to pelvic organ prolapse repair using synthetic mesh, presenting mesh erosion through the vagina.INTERVENTIONS:
Mesh excision using a laparoscopy-like operative vaginoscopy in which standard laparoscopic instruments are used through a single-incision laparoscopic surgery port device placed in the vagina. MEASUREMENTS AND MAINRESULTS:
In all cases, a very good exposure of the mesh was achieved, a minimal tissue traction was required, and the procedures were performed in a very ergonomic way. All the patients were discharged on the same day of the surgery and had a painless postoperative course. So far, there have been no cases of relapse.CONCLUSION:
This seems to be a simple, cheap, and valuable minimally invasive technique with many advantages in comparison with the conventional approach. More cases and time are necessary to access its long-term efficacy. It may possibly be used for the management of other conditions.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Procedimentos Cirúrgicos em Ginecologia
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Telas Cirúrgicas
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Vagina
/
Prolapso de Órgão Pélvico
/
Exame Ginecológico
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article