Taylor G Bernard, Moore Robert D, Miklos John R
Atlanta Urogynecology Associates, Alpharetta, Georgia 30005, USA.
Obstet Gynecol. 2006 Feb;107(2 Pt 2):475-7. doi: 10.1097/01.AOG.0000187949.87223.06.
Severe infectious morbidity associated with the use of synthetic mesh and abdominal sacral colpopexy is rare. Pelvic abscess, sinus tract formation, enterovaginal fistula, and osteomyelitis have been reported.
This case involves a patient who presented with staphylococcal bacteremia and vaginal erosion of a sacral colpopexy synthetic mesh. Despite prolonged courses of intravenous antibiotics and complete removal of the mesh material, she developed osteomyelitis. Progressive neurologic symptoms required a decompression laminectomy to facilitate a complete recovery and resolution of symptoms.
In the treatment of abdominal sacral colpopexy mesh erosion, we recommend maintaining a high index of suspicion for secondary infections.
与使用合成网片和腹骶阴道固定术相关的严重感染性发病情况较为罕见。盆腔脓肿、窦道形成、肠阴道瘘和骨髓炎均有报道。
本病例涉及一名患者，该患者出现葡萄球菌菌血症以及骶阴道固定术合成网片的阴道侵蚀。尽管接受了长时间的静脉抗生素治疗并完全移除了网片材料，但她仍发展为骨髓炎。进行性神经症状需要行减压性椎板切除术以促进症状的完全恢复和缓解。
在腹骶阴道固定术网片侵蚀的治疗中，我们建议对继发感染保持高度怀疑。
