Surgical management of vaginal mesh erosion: an alternative to excision.
HYPOTHESIS AND INTRODUCTION: Management of vaginal mesh erosion can be conservative, but in a large proportion of patients, excision/trimming of the mesh is needed. This paper describes a technique using an intervening vulval pad of fat graft between the vaginal epithelium and the mesh as an alternative to excision.


METHODS
Three cases are presented where vaginal mesh erosion was treated using an intervening vulval pad of fat as a graft to cover polypropylene mesh erosion, and the technique is described.


RESULTS
There were no intraoperative complications. All patients reported no further symptoms at follow-up, and examination revealed no further mesh erosions.


CONCLUSIONS
The use of intervening graft of vulval fat can be an alternative to excision in the management of patients with vaginal mesh erosion.
Shaker
David
D
Rockhampton Base Hospital, University of Queensland, Suite 4, Hillcrest Specialist Centre, Talford Lane, Rockhampton 4700, Qld, Australia. davidshaker@bigpond.com
D000273:Adipose Tissue / Q000637:transplantation*; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D012086:Reoperation; D013526:Surgical Mesh / Q000009:adverse effects*; D016378:Tissue Transplantation / Q000379:methods; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina / Q000601:surgery*; D014844:Vulva / Q000637:transplantation