Incidence and management of abdominal sacrocolpopexy mesh erosions.

Abstract:

OBJECTIVE:This study was undertaken to evaluate the occurrence and management of mesh erosions in patients undergoing abdominal sacrocolpopexy. STUDY DESIGN:A retrospective chart review of the abdominal sacrocolpopexy procedure (n = 92) between 1997 and 2003 was performed. Patients with mesh erosion were identified. Incidence by graft type and treatment required for erosion resolution was analyzed with chi 2 and Fisher exact test. RESULTS:Erosions occurred in 7.6 % (7/92). Erosions were identified only in patients with Gore-Tex (3/33, 9%) or silicone-coated mesh (4/21, 19%) compared with none of 38 patients with polypropylene mesh (n = 24) or fascia (n = 14) grafts ( P = .068.). Partial excision of exposed graft resolved all 3 Gore-Tex erosions, compared with none of the silicone-coated mesh erosions ( P = .03). Complete graft removal was required to resolve silicone-coated mesh erosions. CONCLUSION:We observed a high rate of erosion with Gore-Tex and silicone-coated mesh. Partial graft excision was adequate for Gore-Tex erosions, but complete graft removal was necessary to resolve erosions associated with silicone-coated mesh.

journal_name

Am J Obstet Gynecol

authors

Begley JS,Kupferman SP,Kuznetsov DD,Kobashi KC,Govier FE,McGonigle KF,Muntz HG

doi

10.1016/j.ajog.2005.02.062

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

1956-62

issue

6

eissn

0002-9378

issn

1097-6868

pii

S0002937805002784

journal_volume

192

pub_type

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