Department of Obstetrics and Gynecology, Johannes Gutenberg University, Langenbeckstrasse 1, 55131 Mainz, Germany.
Eur J Obstet Gynecol Reprod Biol. 2011 Oct;158(2):354-7. doi: 10.1016/j.ejogrb.2011.06.015. Epub 2011 Jul 18.
118 patients, who were admitted from 2005 to 2008 to our department due to complications following mesh implantation, were included in a retrospective survey. We investigated patient symptoms, findings and subsequent patient management. There was a re-evaluation of symptoms in a follow-up eight weeks after the revision procedure. Data from our urogynecological file archive were used.
The main complaints were de novo urgency, pain and recurrent urinary tract infections. The main findings were mesh erosion and infections including abscess formations and osteomyelitis. Before being admitted to our department, 42 patients (35.6%) had already undergone at least one intervention. Surgery to overcome complications was performed in our unit after an average time of 27 months. In most cases, mesh removal was necessary.
Surgeons need to be aware of potential mesh complications, which should be managed in referral centres as soon as symptoms arise and should be documented in registers. There is a need for more prospective randomised studies on complications arising from surgery.
回顾性调查纳入了 2005 年至 2008 年因网片植入后并发症而到我科就诊的 118 例患者。我们调查了患者的症状、检查结果和随后的患者管理情况。在翻修手术后 8 周进行了症状的再次评估。使用了我们泌尿科档案库的数据。
主要的抱怨是新出现的尿急、疼痛和反复尿路感染。主要的发现是网片侵蚀和感染，包括脓肿形成和骨髓炎。在被收入我科之前，42 例患者（35.6%）已经至少接受过一次干预。在平均 27 个月后，在我科进行了克服并发症的手术。在大多数情况下，需要去除网片。
外科医生需要意识到潜在的网片并发症，一旦出现症状，应在转诊中心进行处理，并在登记处记录。需要更多关于手术并发症的前瞻性随机研究。
