Incidence and management of abdominal sacrocolpopexy mesh erosions

J. Sean Begley, Susan P. Kupferman, Dimitri D. Kuznetsov, Kathleen C. Kobashi, Fred E. Govier, Kathryn F. McGonigle, Howard G. Muntz

Research output: Contribution to journalArticlepeer-review

58 Scopus citations

Abstract

Objective: This study was undertaken to evaluate the occurrence and management of mesh erosions in patients undergoing abdominal sacrocolpopexy. Study design: A retrospective chart review of the abdominal sacrocolpopexy procedure (n = 92) between 1997 and 2003 was performed. Patients with mesh erosion were identified. Incidence by graft type and treatment required for erosion resolution was analyzed with χ2 and Fisher exact test. Results: Erosions occurred in 7.6 % (7/92). Erosions were identified only in patients with Gore-Tex (3/33, 9%) or silicone-coated mesh (4/21, 19%) compared with none of 38 patients with polypropylene mesh (n = 24) or fascia (n = 14) grafts (P =. 068.). Partial excision of exposed graft resolved all 3 Gore-Tex erosions, compared with none of the silicone-coated mesh erosions (P =. 03). Complete graft removal was required to resolve silicone-coated mesh erosions. Conclusion: We observed a high rate of erosion with Gore-Tex and silicone-coated mesh. Partial graft excision was adequate for Gore-Tex erosions, but complete graft removal was necessary to resolve erosions associated with silicone-coated mesh.

Original languageEnglish (US)
Pages (from-to)1956-1962
Number of pages7
JournalAmerican Journal of Obstetrics and Gynecology
Volume192
Issue number6
DOIs
StatePublished - Jun 2005

Keywords

  • Abdominal sacral colpopexy
  • Erosion
  • Graft
  • Mesh
  • Sacrocolpopexy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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