Margulies Rebecca U, Lewicky-Gaupp Christina, Fenner Dee E, McGuire Edward J, Clemens J Quentin, Delancey John O L
Pelvic Floor Research Group and the Department of Obstetrics and Gynecology, University of Michigan School of Medicine, Ann Arbor, MI, USA.
Am J Obstet Gynecol. 2008 Dec;199(6):678.e1-4. doi: 10.1016/j.ajog.2008.07.049. Epub 2008 Oct 9.
The objective of the study was to the characterize the symptoms and management of vaginal mesh-related complications requiring operative intervention.
This was a case series of patients undergoing excision of vaginal graft material. Only women who had vaginal mesh placement for the correction of pelvic organ prolapse (POP) were included. We describe the symptoms, complications, and management of women treated surgically for vaginal mesh-related complications.
Thirteen referred women underwent surgery for vaginal mesh-related complications. All meshes were Apogee and/or Perigee. Ten had symptomatic mesh exposures, 1 had an exposure with pelvic abscess, and 2 had pain syndromes without mesh exposure. Patients also had rectovaginal fistula, vesicovaginal fistula, recurrent POP, and persistent discharge. Five women had prior surgery for this problem. All patients underwent transvaginal mesh excision and other indicated procedures at our institution, and 6 women required a second surgery at our institution, with a median of 2 surgeries per patient.
Vaginal mesh placement for POP can be associated with pain, exposure, and fistula formation, requiring multiple operative interventions.
本研究的目的是描述需要手术干预的阴道网片相关并发症的症状及处理方法。
这是一组接受阴道移植物材料切除术患者的病例系列研究。仅纳入因盆腔器官脱垂（POP）而放置阴道网片的女性。我们描述了因阴道网片相关并发症接受手术治疗的女性的症状、并发症及处理方法。
13名转诊女性因阴道网片相关并发症接受了手术。所有网片均为Apogee和/或Perigee。10名有症状性网片暴露，1名有网片暴露伴盆腔脓肿，2名有疼痛综合征但无网片暴露。患者还出现直肠阴道瘘、膀胱阴道瘘、复发性盆腔器官脱垂及持续性分泌物。5名女性曾因该问题接受过手术。所有患者在我们机构均接受了经阴道网片切除术及其他相关手术，6名女性在我们机构需要二次手术，每位患者手术次数中位数为2次。
用于盆腔器官脱垂的阴道网片置入可能会导致疼痛、暴露及瘘管形成，需要多次手术干预。
