Roth Ted M, Reight Ian
Women's Specialty Center/Bladder Control Center, Central Maine Medical Center, Lewiston, ME 04240, USA.
Int Urogynecol J. 2012 Jul;23(7):953-5. doi: 10.1007/s00192-011-1630-x. Epub 2012 Jan 12.
Sacral colpopexy may be complicated by mesh exposure, and the surgical treatment of mesh exposure typically results in minor postoperative morbidity and few delayed complications. A 75-year-old woman presented 7 years after a laparoscopic sacral colpopexy, with Mersilene mesh, with an apical mesh exposure. She underwent an uncomplicated transvaginal excision and was asymptomatic until 8 months later when she presented with vaginal drainage and a sacral abscess. This was successfully treated with laparoscopic enterolysis, drainage of the abscess, and explantation of the remaining mesh. Incomplete excision of exposed colpopexy mesh can lead to ascending infection and sacral abscess. Laparoscopic drainage and mesh removal may be considered in these patients.
骶骨阴道固定术可能会并发网片暴露，而网片暴露的手术治疗通常术后发病率较低且很少有延迟并发症。一名75岁女性在接受腹腔镜骶骨阴道固定术（使用Mersilene网片）7年后出现顶端网片暴露。她接受了简单的经阴道切除术，术后一直无症状，直到8个月后出现阴道引流和骶骨脓肿。通过腹腔镜肠粘连松解术、脓肿引流以及取出剩余网片，成功治愈了该病症。暴露的阴道固定术网片切除不完全可导致上行感染和骶骨脓肿。对于这些患者可考虑行腹腔镜引流和网片取出术。
