Incidence and management of abdominal sacrocolpopexy mesh erosions.
OBJECTIVE
This study was undertaken to evaluate the occurrence and management of mesh erosions in patients undergoing abdominal sacrocolpopexy.


METHODS
A retrospective chart review of the abdominal sacrocolpopexy procedure (n = 92) between 1997 and 2003 was performed. Patients with mesh erosion were identified. Incidence by graft type and treatment required for erosion resolution was analyzed with chi 2 and Fisher exact test.


RESULTS
Erosions occurred in 7.6 % (7/92). Erosions were identified only in patients with Gore-Tex (3/33, 9%) or silicone-coated mesh (4/21, 19%) compared with none of 38 patients with polypropylene mesh (n = 24) or fascia (n = 14) grafts ( P = .068.). Partial excision of exposed graft resolved all 3 Gore-Tex erosions, compared with none of the silicone-coated mesh erosions ( P = .03). Complete graft removal was required to resolve silicone-coated mesh erosions.


CONCLUSIONS
We observed a high rate of erosion with Gore-Tex and silicone-coated mesh. Partial graft excision was adequate for Gore-Tex erosions, but complete graft removal was necessary to resolve erosions associated with silicone-coated mesh.
Begley
J Sean
JS
Section of Gynecology and Gynecologic Oncology, Department of Surgery, Section of Urology, Virginia Mason Medical Center, Seattle, WA 98111, USA.
Kupferman
Susan P
SP
Kuznetsov
Dimitri D
DD
Kobashi
Kathleen C
KC
Govier
Fred E
FE
McGonigle
Kathryn F
KF
Muntz
Howard G
HG
D000005:Abdomen / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D015994:Incidence; D008499:Medical Records; D008875:Middle Aged; D019736:Prostheses and Implants; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000009:adverse effects*; D012189:Retrospective Studies; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery*; D014861:Washington / Q000453:epidemiology