E-Posters-10040

10040_Lavelle

Pdf Summary

A case series study was conducted to describe the incidence of mesh complications following laparoscopic sacrocolpopexy (LSC) using lightweight, macroporous, polypropylene mesh. The study included 121 women who underwent LSC and had a documented pelvic exam at least 24 months after surgery. The majority of the participants were Caucasian, postmenopausal, and nonsmokers. The primary mesh used was Gynemesh PS. <br /><br />The study found that the incidence of mesh complications following LSC was 2.48%, with a 95% confidence interval of 0.51%-7.07%. There were three mesh complications identified, including two chronic, symptomatic infections that required removal at 12 and 18 months postoperatively, and one asymptomatic apical mesh exposure treated with vaginal estrogen at 21 months postoperatively. The patients with infectious complications had undergone concomitant supracervical hysterectomy, and one had diabetes mellitus. No additional mesh complications were documented among the full cohort of 480 patients.<br /><br />The study also noted that the incidence of mesh complications with contemporary mesh choices appeared to be lower than previously reported in trials using diverse mesh selections. This is significant because the primary concern following sacrocolpopexy is the risk of mesh complications, which has been estimated to be up to 10.5%. However, this estimate is based on open procedures and includes meshes with higher rates of complications that have since been abandoned.<br /><br />In conclusion, this study provides evidence that the use of lightweight, macroporous, polypropylene mesh in laparoscopic sacrocolpopexy is associated with a low incidence of mesh complications. The findings suggest that contemporary mesh choices have lower complication rates compared to previous trials with diverse mesh selections.

Keywords

case series study

incidence

mesh complications

laparoscopic sacrocolpopexy

Gynemesh PS

chronic infections

apical mesh exposure

vaginal estrogen

contemporary mesh choices

complication rates