[Infectious spondylodiscitis after a laparoscopic sacrocolpopexy: about one case].
One case of spondylodiscitis, over a period of 18 months after a laparoscopic sacrocolpopexy with suture, was reported. After a needle aspiration of the disco-vertebral space retrieving Pseudomonas, adapted antibiotic treatment and immobilization permit favorable evolution. The clinical, biological and imaging with MRI favorable evolution, prompted not to disassemble the prosthetic material, however this option should be discussed at the outset when large abscess or vaginal fistula or unfavorable evolution with medical treatment. Fixation promontory must interest the prevertebral ligament and not the disc; using suture should be preferred to staples.
Descargues
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G
Centre de pelvipérinéologie, clinique Saint-Hilaire, 2, place Saint-Hilaire, 76000 Rouen, France. drdescargues@hotmail.com
Bouzouita
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A
Grise
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P
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003127:Colposcopy / Q000009:adverse effects* / Q000379:methods; D015299:Discitis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D011549:Pseudomonas / Q000302:isolation & purification; D011552:Pseudomonas Infections / Q000188:drug therapy / Q000209:etiology*; D013536:Suture Techniques; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents