scholarly journals LAPAROSCOPIC COLPOSACROPEXY MESH EXCISION SECONDARY TO SEVERE SPONDYLODISCITIS

2021 ◽  
Author(s):  
A Luzarraga Aznar ◽  
I Mora Hervas ◽  
E Magret Descamps ◽  
R. Rovira Negre
Keyword(s):  
Mesh Excision

Observational Cohort Study on the Use of a Slowly Fully Resorbable Synthetic Mesh (Phasix™) in the Treatment of Complex Abdominal Wall Pathology with Different Grades of Contamination

2021 ◽  
Author(s):  
Laurens van Driel ◽  
Marc Miserez ◽  
Frits Aarts ◽  
Tim Tollens
Keyword(s):  
Cohort Study ◽  
Abdominal Wall ◽  
Synthetic Mesh ◽  
Observational Cohort Study ◽  
Short Term ◽  
Female Ratio ◽  
Ventral Incisional Hernia ◽  
Mesh Excision ◽  
Observational Cohort ◽  
Clean Contaminated

Purpose: Abdominal wall hernia repair in contaminated cases remains a therapeutic challenge due to the high risk of post-operative surgical site occurrences (SSO). Slowly resorbable synthetic (biosynthetic) meshes have recently been introduced and may offer unique advantages when challenged with bacterial colonization during abdominal wall reconstruction. Methods: A multicenter single-arm retrospective observational cohort study examined all consecutive patients in whom a poly-4-hydroxybutyrate mesh (Phasix™ or Phasix™ ST; Becton Dickinson, Franklin Lakes, NJ, USA) was used for the repair of an inguinal or ventral/incisional hernia, or to replace an infected synthetic mesh. Patient records were analyzed according to the level of contamination, using the classification score of the Centers for Disease Control and Prevention (CDC). The primary objective was to evaluate short-term postoperative morbidity by assessing SSOs and the need for reoperation or even mesh excision. Results: A total of 47 patients were included. The median age was 68 years (30-87), the male/female ratio was 26/21, and the median BMI was 26.5 kg/m2 (16.4-46.8). There were 17 clean cases, 17 clean-contaminated, 6 contaminated and 7 dirty. Median follow-up time was 48 days. An SSO was seen in 4 clean (23.5%), 7 clean-contaminated (41.2%), 2 contaminated (33.3%) and 5 dirty cases (71.4%). A surgical site occurrence requiring procedural intervention (SSOPI) was seen in 2 clean (11.8%), 3 clean-contaminated (17.6%), 1 contaminated (16.7%) and 2 dirty cases (28.6%). Hernia recurrence was seen in 1 clean (5.9%), 2 clean-contaminated (11.8%) and 3 dirty cases (42.9%). Mesh excision had to be performed in only one case in the contaminated group. Conclusion: The Phasix™ mesh shows promising short-term results when used in contaminated hernia-related surgery. Even in contaminated or dirty conditions, with or without infection of the mesh, resection of the mesh only had to be performed once and patients could be managed either conservatively or by relatively minor reoperations. However, further research is needed to fully evaluate the safety and efficacy of these meshes.

Analysis of Complications of Pelvic Mesh Excision Surgery Using the Clavien-Dindo Classification System

2017 ◽  
Vol 198 (3) ◽  
pp. 638-643 ◽  
Author(s):  
Goran Rac ◽  
Alyssa Greiman ◽  
Andrew Rabley ◽  
T.J. Tipton ◽  
Leah R. Chiles ◽  
...  
Keyword(s):  
Classification System ◽  
Mesh Excision

Mesh Excision: Is Total Mesh Excision Necessary?

2016 ◽  
Vol 17 (4) ◽  
Author(s):  
Gillian F. Wolff ◽  
J. Christian Winters ◽  
Ryan M. Krlin
Keyword(s):  
Mesh Excision

A Technique of Vaginoscopic Mesh Excision from the Vaginal Vault After Sacrocolpopexy

2015 ◽  
Vol 22 (6) ◽  
pp. S137
Author(s):  
LRG Ferreira ◽  
MT Zomer ◽  
R Ribeiro ◽  
R Hayashi ◽  
RLS Martin ◽  
...  
Keyword(s):  
Vaginal Vault ◽  
Mesh Excision

scholarly journals 29: Laparoscopic mesh excision for mesh erosion into the bladder

2016 ◽  
Vol 214 (4) ◽  
pp. S516-S517
Author(s):  
S. Kasturi ◽  
W. Hilger ◽  
L. Bowen
Keyword(s):  
Mesh Erosion ◽  
Mesh Excision

scholarly journals Robotic-Assisted Laparoscopic Sacrocolpopexy for Pelvic Organ Prolapse: A Single Center Experience in China

2022 ◽  
Vol 2022 ◽  
pp. 1-5
Author(s):  
Ke Niu ◽  
Qingzhi Zhai ◽  
Wensheng Fan ◽  
Li’an Li ◽  
Wen Yang ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Life Quality ◽  
Operation Time ◽  
Pelvic Organ ◽  
Mesh Exposure ◽  
Robotic Assisted ◽  
Single Center Experience ◽  
Hospitalization Time ◽  
Mesh Excision

Objective. The aim is to investigate the efficiency and outcome of robotic-assisted sacrocolpopexy (RASC) in a cohort of patients with pelvic organ prolapse (POP) in our Gynecology Department. Methods. We performed a retrospective study of female patients who underwent RASC in Chinese PLA General Hospital from January 2013 to December 2020. Their clinical features included age, degree of prolapse, menopause time, body mass index, pregnancy, delivery, operation time, and bleeding volume. All patients were followed up for more than 6 months. POP-Q was recorded to evaluate the position of prolapsed organs. PFDI-20, PFIQ-7, and PGI-I were used to evaluate the life quality after surgery. Results. Twenty-four patients with POP received RASC in our center. The intraoperative bleeding was 86.9 ± 98.3 ml (20–300 ml). The operation time was 143.5 ± 47.3 min (60–240 minutes). The hospitalization time was 10.4 ± 2.1 days (8–16 days). And the follow-up time was 40.8 ± 22.0 months (6–72 months). In the POP-Q follow-up, postoperative Aa, Ba, Ap, Bp, and C were significantly improved than those before surgery ( P < 0.05 ). The objective and subjective cure rate was 100%. PGI-I score was very good in 9 (9/24), very good in 10 (10/24), and good in 3 (3/24). Postoperative PFDI-20 and PFIQ-7 were 2.78 ± 3.82 and 1.57 ± 3.86, which decreased dramatically after surgery ( P < 0.05 ). Mesh exposure occurred in 4 cases (16.7%) at 2–12 months. The exposed diameters were less than 1 cm in 3 cases (2 A/T3/S1) and 1-2 cm in 1 case (3 B/T3/S1). These mesh exposures healed after conservative observation or mesh excision. Conclusion. RASC for POP has the advantage of less bleeding and hospitalization time. It is a minimally invasive option for pelvic organ prolapse.

scholarly journals OV02 COMPLEX PARASTOMAL HERNIA REPAIR WITH MESH FISTULA AND MESH INFECTION

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Sharbel Elhage ◽  
Eva Deerenberg ◽  
Sullivan Ayuso ◽  
Vedra Augenstein ◽  
Kevin Kasten ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hernia Repair ◽  
Parastomal Hernia ◽  
Botulinum Toxin A ◽  
Operative Procedure ◽  
Mesh Infection ◽  
Loss Of Domain ◽  
Parastomal Hernia Repair ◽  
Mesh Excision

Abstract Aim Parastomal hernias of any size can be difficult to manage and greatly affect a patient’s quality of life, however, they can be even more problematic when associated with loss of domain and infection. The aim of our video was to demonstrate open repair of a massive parastomal hernia complicated by loss of domain, mesh fistula, and mesh infection. Material and Methods Images and footage from clinic and the operative procedure were included. Results A 51-year-old female with a history of prior APR followed by failed ventral and parastomal hernia repairs presented with a massive parastomal hernia that was significantly impacting her and her family’s quality of life. Due to her hernia, she had become immobile and was bed bound. Furthermore, the hernia had caused significant chronic constipation secondary to colonic dysmotility. The patient also had loss of domain, and her hernia appeared to be complicated by a chronic mesh infection with a draining sinus. She underwent pre-operative bilateral botulinum toxin A injection in the oblique abdominal musculature. She then underwent open preperitoneal parastomal hernia repair with biologic mesh, excision of prior mesh, primary fistula repair, total abdominal colectomy, and end ileostomy. The patient tolerated the procedure well without complications and has continued to do well in follow-up. She has had great improvement in her quality of life. Conclusions In this patient with a massive parastomal hernia complicated by loss of domain, mesh fistula, and mesh infection, we demonstrate a successful open preperitoneal repair following pre-operative BTA injection.

A technique of laparoscopic mesh excision from the bladder after sacrocolpopexy

2015 ◽  
Vol 212 (3) ◽  
pp. 403.e1-403.e3 ◽  
Author(s):  
Dimitri Sarlos ◽  
Thomas Aigmueller ◽  
Gabriel Schaer
Keyword(s):  
Mesh Excision
Sign in / Sign up

Export Citation Format

Share Document