Three cases of mesh infection after Laparoscopic sacrocolpopexy (LSC)

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  • Saito Kensuke
    Department of Obstetrics and Gynecology Wakamatsu Hospital of University of occupational and Environmental Health
  • Ishizuka Takaki
    Department of Obstetrics and Gynecology Wakamatsu Hospital of University of occupational and Environmental Health
  • Matsuno Mariko
    Department of Obstetrics and Gynecology Wakamatsu Hospital of University of occupational and Environmental Health
  • Yoshimura Kazuaki
    Department of Obstetrics and Gynecology Wakamatsu Hospital of University of occupational and Environmental Health

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  • 腹腔鏡下仙骨腟固定術（LSC）後にメッシュ感染を来した3 例

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Abstract

<p>Laparoscopic sacrocolpopexy (LSC) for pelvic organ prolapse is a surgical procedure with few recurrences and complications, however, we experienced three cases of postoperative mesh infection such as spinal discitis and retroperitoneal abscess.</p><p>Case 1 complained fever and abdominal pain 11 days after LSC. Magnetic resonance imaging (MRI) scan revealed an abscess along the mesh, and mesh infection was suspected. Laparoscopic mesh removal surgery was performed due to suspicion of mesh infection.</p><p>Case 2 complained fever and low back pain 4 days after LSC. MRI revealed L5-S1 spinal discitis due to mesh infection.</p><p>Laparoscopic mesh removal was performed due to mesh infection.</p><p>Case 3 complained anorexia 13 days after LSC. Transvaginal ultrasonography revealed abscess formation. Laparoscopic mesh removal was performed due to mesh infection.</p><p>In all cases, the postoperative course was favorable, and no recurrence of infection was observed.</p><p>Early mesh removal is preferable for mesh infection after LSC. However, mesh removal surgery leaves pelvic organ prolapse untreated, and it is important to avoid infection itself.</p>

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