Murphy Alana M, Goldman Howard B
Department of Urology, Thomas Jefferson University Hospital, 1025 Walnut Street Suite 1100, Philadelphia, PA, 19107, USA.
Section of Female Pelvic Medicine and Reconstructive Surgery, Glickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA.
Int Urogynecol J. 2017 May;28(5):793-794. doi: 10.1007/s00192-017-3276-9. Epub 2017 Feb 17.
Groin pain is a known complication of transobturator mesh placement. The objective of this instructional video is to present the surgical technique used to excise the thigh portion of a sling in a patient with persistent thigh pain after placement of a transobturator sling.
The featured patient is a 49-year-old woman with a history of bilateral groin pain since undergoing placement of a type one polypropylene transobturator sling. Because of persistent pain after removal of the vaginal portion of the sling, she elected to undergo a bilateral thigh dissection to remove the remaining transobturator mesh arms 14 months after her initial surgery.
A bilateral thigh exploration was completed with successful excision of all remaining mesh.
Thigh exploration performed in a systematic fashion is a feasible option for transobturator mesh excision even when the vaginal component of the sling has been previously excised.
腹股沟疼痛是经闭孔放置补片的一种已知并发症。本教学视频的目的是展示用于切除经闭孔吊带置入术后出现持续性大腿疼痛患者大腿部吊带的手术技术。
该病例患者为一名49岁女性，自接受1型聚丙烯经闭孔吊带置入术后双侧腹股沟疼痛。由于在移除吊带阴道部分后仍持续疼痛，她选择在初次手术后14个月接受双侧大腿解剖，以切除剩余的经闭孔补片臂。
完成双侧大腿探查，成功切除所有剩余补片。
即使吊带的阴道部分先前已被切除，以系统方式进行大腿探查仍是经闭孔补片切除的一种可行选择。
