Department of Obstetrics and Gynecology, Inselspital, Bern University Women's Hospital, University of Bern, Friedbühlstrasse 19, 3010, Bern, Switzerland.
Int Urogynecol J. 2023 Aug;34(8):1987-1989. doi: 10.1007/s00192-023-05494-5. Epub 2023 Mar 10.
The objective was to demonstrate the surgical procedure of laparoscopic mesh removal after sacrocolpopexy to aid clinicians facing mesh complications.
Video footage shows the laparoscopic management of mesh failure and mesh erosion after sacrocolpopexy with narrated video sequences of two patients.
Laparoscopic sacrocolpopexy represents the gold standard in advanced prolapse repair. Mesh complications occur infrequently but infections, failure of prolapse repair and mesh erosions necessitate mesh removal and repeat sacrocolpopexy if applicable. The video deals with two women referred to our tertiary referral urogynecology unit in the University Women's Hospital of Bern, Switzerland, after laparoscopic sacrocolpopexies that were carried out in remote hospitals. Both patients were asymptomatic more than 1 year after surgery.
Complete mesh removal after sacrocolpopexy and repeat prolapse surgery can be challenging but is feasible and is aimed at improving patients' complaints and symptoms.
目的是展示经阴道骶骨固定术后网片移除的手术过程，以帮助面临网片并发症的临床医生。
视频片段展示了经阴道骶骨固定术后网片失败和网片侵蚀的腹腔镜处理，配有两名患者的视频序列解说。
腹腔镜骶骨固定术是高级脱垂修复的金标准。网片并发症很少发生，但感染、脱垂修复失败和网片侵蚀需要移除网片，并在适用的情况下重复骶骨固定术。该视频涉及到两名女性，她们在瑞士伯尔尼大学妇女医院的三级转诊泌尿科单位就诊，此前她们在远程医院接受了腹腔镜骶骨固定术。两名患者术后 1 年以上无症状。
经阴道骶骨固定术后完全移除网片并重复脱垂手术可能具有挑战性，但可行，并旨在改善患者的抱怨和症状。
