Journal Article

Laparoscopic sacrocolpopexy mesh excision step-by-step

Mohr, Stefan, Kuhn, Annette, Imboden, Sara, Mueller, Michael D.

2023

Overview

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.

• Publisher: Springer International Publishing,Springer Nature B.V
• Subject: Asymptomatic / Data collection / Editing / Estrogens / Female / Foreign bodies / Gynecologic Surgical Procedures - methods / Gynecology / Hernias / Hormone replacement therapy / Humans / Hysterectomy / IUJ Video / Laparoscopy / Laparoscopy - methods / Laparotomy / Medicine / Medicine & Public Health / Patient satisfaction / Pelvic organ prolapse / Pelvic Organ Prolapse - surgery / Surgery / Surgical mesh / Surgical Mesh - adverse effects / Treatment Outcome / Urinary incontinence / Urology / Uterine Prolapse - surgery / Vagina / Vagina - surgery