Mesh Erosion and Sigmoido-vaginal Fistula

Authors

  • Nishma Bajracharya Kathmandu Model Hospital, Kathmandu
  • Ganesh Dangal Kathmandu Model Hospital, Kathmandu
  • Aruna Karki Kathmandu Model Hospital, Kathmandu
  • Hema Pradhan Kathmandu Model Hospital, Kathmandu
  • Ranjana Shrestha Kathmandu Model Hospital, Kathmandu
  • Kabin Bhattachan Kathmandu Model Hospital, Kathmandu
  • Rekha Paudel Kathmandu Model Hospital, Kathmandu
  • Bijendra Dhoj Joshi Kathmandu Model Hospital, Kathmandu
  • Arbin Joshi Kathmandu Model Hospital, Kathmandu

Keywords:

sacrocolopopexy, mesh erosion, synthetic grafts, sigmoido-vaginal fistula

Abstract

Abdominal sacro-colpopexy (ASC) is a commonly performed procedure for the surgical treatment of pelvic organ prolapse (POP). Surgeons favor this technique because of its well-established success rates ranging from 78-100% and durability, which is attributed to reinforcement of native tissues with a graft. Despite recognition of the risk of erosion, synthetic grafts have been preferred over autologous grafts for ASC because they are durable, avoid the morbidity and operative time of harvesting fascia, are readily available and are relatively inexpensive. Ideally, these benefits should outweigh the possibility of erosion, which is a unique complication of using a graft.

We present here a unique case of mesh erosion into bowel after ASC who presented with sigmoido-vaginal fistula.

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Author Biography

Nishma Bajracharya, Kathmandu Model Hospital, Kathmandu

Department of Obstetrics and Gynaecology

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Published

2018-01-15

How to Cite

Bajracharya, N., Dangal, G., Karki, A., Pradhan, H., Shrestha, R., Bhattachan, K., Paudel, R., Joshi, B. D., & Joshi, A. (2018). Mesh Erosion and Sigmoido-vaginal Fistula. Nepal Journal of Obstetrics and Gynaecology, 12(1), 64–65. Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/18985

Issue

Section

Case Reports