Use of Vicryl mesh in the reconstruction of the pelvic floor following exenteration.
Thirteen patients underwent reconstruction of the pelvic floor following pelvic exenteration using polyglactin 910 (Vicryl) mesh with omentum. One patient developed a conduit leak in the early postoperative period and one patient developed an enterocutaneous fistula at the time of recurrence. There were no other gastrointestinal or urinary tract complications. Six patients developed significant postoperative pelvic infections, four of which manifest as abscesses below the mesh. Vicryl mesh with omentum appears to be a reasonable method for reconstruction of the pelvic floor following exenteration. The postoperative infectious morbidity in this series is concerning, however.
Hoffman
M S
MS
Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa 33612.
Roberts
W S
WS
LaPolla
J P
JP
Fiorica
J V
JV
Cavanagh
D
D
D000038:Abscess / Q000209:etiology; D000328:Adult; D000368:Aged; D002481:Cellulitis / Q000209:etiology; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010385:Pelvic Exenteration; D010388:Pelvis; D011098:Polyglactin 910; D011108:Polymers; D011183:Postoperative Complications; D019736:Prostheses and Implants; D013530:Surgical Wound Infection
D011108:Polymers; D011098:Polyglactin 910