PFD Week 2016-Laparoscopic Excision of Infected Mersilene Sacrocolpopexy Mesh

Laparoscopic Excision of Infected Mersilene Sacrocolpopexy Mesh

Video Transcription

Video Summary

The video demonstrates the excision of an infected myrceline mesh in a patient with recurrent vaginal valve prolapse. Laparoscopic sacral copalpexy with myrceline mesh is a popular surgical procedure for advanced and recurrent prolapse. The mesh exposure was treated through vaginal mesh excision. Despite post-op complications such as malodorous discharge and increased bleeding, a laparoscopic excision of the mesh was performed due to suspected chronic infection. The infected mesh was successfully excised using endoshears and monopolar energy. The entire anterior and posterior arms of the mesh were removed, and copious irrigation of the pelvis was completed. The video demonstrates the successful management of infected multifilament mesh using a minimally invasive approach.

Asset Subtitle

Peter L. Rosenblatt, MD, FACOG

Meta Tag

Category Pelvic Organ Prolapse

Category Pelvic Pain

Category Complications

Category Surgery - Laparoscopic Procedures

Keywords

infected myrceline mesh

recurrent vaginal valve prolapse

laparoscopic sacral copalpexy

mesh exposure

laparoscopic excision