PFD Week 2016-Simplified Management of Vaginal Mesh Erosion

Simplified Management of Vaginal Mesh Erosion

Video Transcription

Video Summary

The video demonstrates a simplified approach to managing an anterior vaginal wall mesh exposure. The mesh is well embedded into the subepithelial layer, and surgical excision is necessary. After infiltrating the area with lidocaine, an elliptical incision is made along the healthy edges of the vaginal epithelium. The exposed portion of the mesh is excised, and the lateral edges of the mesh are placated along with the endopelvic fascia for support. The mesh remnants are incorporated into the repair, and care is taken to ensure a tension-free closure. The procedure has been successful in resolving mesh exposures without complications in a small series of cases.

Asset Subtitle

Leon Plowright, MD

Meta Tag

Category Surgery - Vaginal Procedures

Category Complications

Keywords

anterior vaginal wall mesh exposure

simplified approach

surgical excision

mesh remnants

tension-free closure