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International Urogynecology Journal
Published in: International Urogynecology Journal 12/2010

01-12-2010 | Case Report

Lumbosacral osteomyelitis after robot-assisted total laparoscopic hysterectomy and sacral colpopexy

Authors: Tyler M. Muffly, Gouri B. Diwadkar, Marie Fidela R. Paraiso

Published in: International Urogynecology Journal | Issue 12/2010

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Abstract

We report on the transabdominal resection of infected lumbosacral bone, synthetic mesh, and sinus tract following sacral colpopexy. A 45-year-old nulliparous patient who had undergone transvaginal mesh followed by robot-assisted sacral colpopexy presented with increasing back pain and foul-smelling vaginal drainage. An epidural abscess required surgical intervention, including diskectomy, sacral debridement, and mesh removal to drain the abscess and vaginal sinus tract. Recognized complications of open prolapse procedures also manifest following minimally invasive approaches. Osteomyelitis of the sacral promontory following sacral colpopexy may require gynecologic and neurosurgical management.
Literature
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Di Marco DS, Chow GK, Gettman MT, Elliott DS (2004) Robotic-assisted laparoscopic sacrocolpopexy for treatment of vaginal vault prolapse. Urology 63:373–376CrossRefPubMed
2.
Hart SR, Weiser EB, Hart SR, Weiser EB (2004) Abdominal sacral colpopexy mesh erosion resulting in a sinus tract formation and sacral abscess. Obstet Gynecol 103:1037–1040PubMed
3.
Weidner AC, Cundiff GW, Harris RL, Addison WA (1997) Sacral osteomyelitis: an unusual complication of abdominal sacral colpopexy. Obstet Gynecol 90:689–691CrossRefPubMed
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Collinet P, Belot F, Debodinance P, Ha Duc E, Lucot J-P, Cosson M (2006) Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J 17:315–320CrossRef
Metadata
Title
Lumbosacral osteomyelitis after robot-assisted total laparoscopic hysterectomy and sacral colpopexy
Authors
Tyler M. Muffly
Gouri B. Diwadkar
Marie Fidela R. Paraiso
Publication date
01-12-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 12/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1187-0

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