title: Laparoscopic mesh explantation and drainage of sacral abscess remote from transvaginal excision of exposed sacral colpopexy mesh.
abstract: Sacral colpopexy may be complicated by mesh exposure, and the surgical treatment of mesh exposure typically results in minor postoperative morbidity and few delayed complications. A 75-year-old woman presented 7 years after a laparoscopic sacral colpopexy, with Mersilene mesh, with an apical mesh exposure. She underwent an uncomplicated transvaginal excision and was asymptomatic until 8 months later when she presented with vaginal drainage and a sacral abscess. This was successfully treated with laparoscopic enterolysis, drainage of the abscess, and explantation of the remaining mesh. Incomplete excision of exposed colpopexy mesh can lead to ascending infection and sacral abscess. Laparoscopic drainage and mesh removal may be considered in these patients.
authors.affiliation: Women's Specialty Center/Bladder Control Center, Central Maine Medical Center, Lewiston, ME 04240, USA. troth@maine.rr.com
authors.forename: Ted M
authors.initials: TM
authors.lastname: Roth
authors.forename: Ian
authors.initials: I
authors.lastname: Reight
mesh_terms: D018784:Abdominal Abscess / Q000382:microbiology* / Q000628:therapy*; D000038:Abscess / Q000382:microbiology* / Q000628:therapy*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D020878:Device Removal; D004322:Drainage; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D012447:Sacrum; D013290:Streptococcal Infections / Q000382:microbiology* / Q000628:therapy*; D013526:Surgical Mesh / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents