自体移植物治疗尿道中段吊带暴露而不切除网片。
Autologous graft for treatment of midurethral sling exposure without mesh excision.
机构信息
Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
出版信息
Obstet Gynecol. 2013 Feb;121(2 Pt 2 Suppl 1):437-9. doi: 10.1097/aog.0b013e31826d27e3.
BACKGROUND
The midurethral sling is an effective treatment for stress urinary incontinence. Mesh exposure is a known complication of this procedure, with an associated rate of approximately 4%. Other than sling excision, there is minimal information on other options that may help to preserve an effective sling when an exposure has occurred.
CASE
A patient presented with a mesh exposure 9 weeks after a retropubic midurethral sling. Conservative treatment with vaginal estrogen failed, as did primary reclosure in the operating room. She was then successfully treated with a full-thickness autologous vaginal epithelium graft.
CONCLUSION
We report an alternative surgical option to mesh excision, which may help preserve an otherwise effective midurethral sling complicated by mesh exposure.
背景
经尿道中段吊带术是治疗压力性尿失禁的有效方法。网片暴露是该手术的已知并发症，其发生率约为 4%。除了吊带切除术之外，对于当发生网片暴露时可能有助于保留有效吊带的其他选择，信息非常有限。
病例
一名患者在耻骨后经尿道中段吊带术后 9 周出现网片暴露。阴道雌激素保守治疗失败，手术室初次缝合也失败。随后，她成功接受了全层自体阴道上皮移植物治疗。
结论
我们报告了一种替代的手术选择，即网片切除，这可能有助于保留因网片暴露而变得复杂的有效经尿道中段吊带。
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