Khong Su-Yen, Lam Alan
Centre for Advanced Reproductive Endosurgery, St. Leonards, New South Wales, Australia.
J Minim Invasive Gynecol. 2009 Sep-Oct;16(5):592-4. doi: 10.1016/j.jmig.2009.05.005. Epub 2009 Jul 8.
Various meshes are being used widely in clinical practice for pelvic reconstructive surgery despite the lack of evidence of their long-term safety and efficacy. Management of complications such as mesh erosion and dyspareunia can be challenging. Most mesh-related complications can probably be managed successfully via the transvaginal route; however, this may be impossible if surgical access is poor. This case report demonstrates the successful laparoscopic removal of mesh after several failed attempts via the vaginal route.
尽管缺乏关于其长期安全性和有效性的证据,但各种网片仍在盆腔重建手术的临床实践中被广泛使用。诸如网片侵蚀和性交困难等并发症的处理可能具有挑战性。大多数与网片相关的并发症或许可通过经阴道途径成功处理;然而,如果手术入路不佳,这可能无法实现。本病例报告展示了在经阴道途径多次尝试失败后,成功通过腹腔镜取出网片的过程。