Wedell J, Schlageter M, Meier zu Eissen P, Banzhaf G, Castrup W, van Calker H
Chirurg. 1987 Jun;58(6):423-7.
The complication of the infected Ivalon-sponge after rectopexy is described in five patients. In two patients the pelvic sepsis perforated spontaneously into the vagina and in another two patients the pelvic abscess perforated through the levator muscles into the ischio-rectal fossa formating a typical horse-shoe abscess in one case. The management of choice in cases of pelvic sepsis is the complete removal of the infected Ivalon-sponge. We personally prefer the laparotomy for the complete removal of the prosthesis and not the removal through the vagina or through the rectum.
本文描述了5例直肠固定术后感染Ivalon海绵的并发症。2例盆腔脓毒症自发穿孔至阴道,另外2例盆腔脓肿穿破提肌进入坐骨直肠窝,其中1例形成典型的马蹄形脓肿。盆腔脓毒症病例的首选治疗方法是彻底清除感染的Ivalon海绵。我们个人更倾向于通过剖腹手术彻底清除假体,而不是经阴道或经直肠清除。