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Current Urology Reports
Erschienen in: Current Urology Reports 9/2016

01.09.2016 | Lower Urinary Tract Symptoms & Voiding Dysfunction (H Goldman and G Badlani, Section Editors)

Mesh Perforation into a Viscus in the Setting of Pelvic Floor Surgery—Presentation and Management

verfasst von: Seth A. Cohen, Howard B. Goldman

Erschienen in: Current Urology Reports | Ausgabe 9/2016

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Abstract

Perforation of a viscus with a mesh product either during or subsequent to pelvic floor reconstruction can be associated with devastating outcomes. If surgeons are going to place mesh, they also need to be familiar with symptoms concerning for perforation. The index of suspicion should always be present, as these patients can present years after initial mesh placement. The best opportunity for intervention in these serious complications is the first intervention. As bits of mesh are chipped away during attempted interventions, residual mesh fragments become disjointed, frayed, and scarred further, making their removal even more challenging, in addition to traumatizing likely already weakened tissues. This review presents strategies for patient evaluation in the setting of possible mesh perforation, in addition to treatment strategies for urethral, bladder, ureteral, and colonic/rectal injury. Ultimately, the decision as to how much mesh is removed should be based on each patient’s unique presentation.
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Metadaten
Titel
Mesh Perforation into a Viscus in the Setting of Pelvic Floor Surgery—Presentation and Management
verfasst von
Seth A. Cohen
Howard B. Goldman
Publikationsdatum
01.09.2016
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 9/2016
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-016-0621-3

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