Masata Jaromir, Dundr Pavel, Martan Alois
Department of Obstetrics and Gynecology, 1st Medical Faculty, Charles University and General University Hospital in Prague, Prague, Czech Republic,
Int Urogynecol J. 2014 Jul;25(7):993-6. doi: 10.1007/s00192-013-2304-7. Epub 2014 Feb 11.
Bacterial colonization and chronic infection following mesh-augmented pelvic floor reconstructive surgery may be one reason for abnormal healing and the occurrence of complications such as a mesh erosion, pain, and shrinkage. This case presents a patient with Actinomyces infection that appeared 5 years after trocar-guided transvaginal mesh repair of pelvic organ prolapse (POP). In patients with recurrent symptomatic mesh exposure, if partial removal or conservative treatment is unsuccessful, the possibility of Actinomyces infection should be considered.
网状物增强盆底重建手术后的细菌定植和慢性感染可能是愈合异常以及出现诸如网片侵蚀、疼痛和收缩等并发症的原因之一。本病例介绍了一名患者，在经套管针引导的经阴道网片修复盆腔器官脱垂（POP）5年后出现放线菌感染。对于有复发性症状性网片暴露的患者，如果部分切除或保守治疗不成功，应考虑放线菌感染的可能性。
