Atypical Graft Infection Presenting as a Remote Draining Sinus

Karp, Deborah R.; Apostolis, Costas; Lefevre, Roger; Davila, G. Willy

doi:10.1097/aog.0b013e3181a70862

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Additional studies have since reported anatomical success rates for apical POP that were >90% in follow‐up periods of up to 12 months [58,59]. However, severe AEs have been reported after the PIVS and include retropubic abscess, vesicovaginal fistula, dyschezia, dyspareunia, gluteovaginal fistula, rectovaginal fistula, and sinus formation from the pelvis to the lower thigh [60–63]. Tape extrusion and re‐operation rates have approached 20% and 25%, respectively [64–66].…”

Section: Background and Anatomy Of Commercial Pop‐repair Kitsmentioning

confidence: 99%

Pelvic organ prolapse (POP) surgery: the evidence for the repairs

2011

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What is known on the subject? and What does the study add? Substantial experience of the outcomes has been gathered regarding the acute and sub‐acute experience with various types of corrective procedures for POP. These include long‐term POP correction as well as more recent recognition of improvement in functional disorders associated with POP such as UI, colorectal dysfunction, and sexual dysfunction. Long‐term follow‐up is available for some of the older types of interventions and current multicentre trials are being accrued with longer term follow‐up for new interventions including mesh‐type repairs. The study adds a condensed and summarized version of the current literature regarding the various interventions for POP and also provides an overview of the current controversies and areas where knowledge is incomplete and in need of further elaboration for definitive answers regarding optimization of surgical care for POP. • Our aim is to summarise the available data on the transvaginal placement of synthetic mesh for pelvic organ prolapse (POP) repair, with a focus on the outcomes and complications of commercial POP‐repair kits. • As the stability and durability of autologous tissues may be questionable, nonabsorbable, synthetic materials are an attractive alternative for providing additional support during POP surgery. These materials are not novel, and most have been used for many years in surgical applications, e.g. hernia repairs. • While theoretically appealing, the implantation of synthetic mesh in the pelvis may be associated with inherent adverse consequences, such as erosion, extrusion, and infection. Additionally, the routine use of these materials may carry potential long‐term complications, such as dyspareunia, chronic pelvic pain, and vaginal distortion. • The success and failure of mesh‐augmented POP repair is related not only to the synthetic material itself, but also to patient‐ and surgeon‐related factors. • Recent warnings by the USA Food and Drug Administration and other groups regarding adverse events further complicate the decision to use synthetic mesh.

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Section: Background and Anatomy Of Commercial Pop‐repair Kitsmentioning

confidence: 99%

Pelvic organ prolapse (POP) surgery: the evidence for the repairs

2011

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Exposure and Erosion of Vaginal Meshes: Etiology and Treatment

Zimmerman¹,

Théobald²,

Braun³

2011

New Techniques in Genital Prolapse Surgery

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Interobserver variability when employing the IUGA/ICS classification system for complications related to prostheses and grafts in female pelvic floor surgery

et al. 2013

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The IUGA/ICS mesh complication classification system has poor interobserver reliability. This trended downward with decreasing postgraduate level; however, we did not have sufficient statistical power to show an association when stratifying by all training levels. This highlights the complex nature of the classification system in its current form and its limitation for widespread clinical and research application.

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Atypical Graft Infection Presenting as a Remote Draining Sinus

Abstract: Complications associated with the multifilament mesh used in the intravaginal slingplasty tunneler device include pain, erosion, localized abscess, and genitourinary fistula.

Cited by 3 publications

References 9 publications

Pelvic organ prolapse (POP) surgery: the evidence for the repairs

Pelvic organ prolapse (POP) surgery: the evidence for the repairs

Exposure and Erosion of Vaginal Meshes: Etiology and Treatment

Interobserver variability when employing the IUGA/ICS classification system for complications related to prostheses and grafts in female pelvic floor surgery

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