Occurrence of postoperative hematomas after prolapse repair using a mesh augmentation system.
BACKGROUND
Mesh-augmented repair kits are increasingly being used for anterior compartment defect repair and can be associated with complications.


METHODS
Two cases are presented of postoperative pelvic hematomas confirmed on computerized tomography scan after anterior repair with a mesh-augmented anterior vaginal prolapse repair system. Both resolved without requiring drainage, although one patient did require a blood transfusion, and the other required intravenous antibiotics to treat an infected hematoma.


CONCLUSIONS
Significant complications may arise from this new technology. Further studies are needed to determine whether the benefits of this technology outweigh its risk of use.
LaSala
Christine A
CA
Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital, Hartford, Connecticut, USA. clasala@harthosp.org
Schimpf
Megan O
MO
D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D010388:Pelvis; D017698:Postmenopause; D011183:Postoperative Complications; D013526:Surgical Mesh / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery