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International Urogynecology Journal
Published in: International Urogynecology Journal 6/2017

Open Access 01-06-2017 | Original Article

Conservative management of pelvic abscess following sacrocolpopexy: a report of three cases and review of the literature

Authors: Soo Yun Kwon, Stacy Brown, John Hibbeln, Jeffrey Stephen Freed

Published in: International Urogynecology Journal | Issue 6/2017

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Abstract

Introduction and hypothesis

After sacrocolpopexy, intra-abdominal pelvic abscesses are often managed with intravenous antibiotics, excision of the mesh involved, and debridement of compromised tissue.

Methods and results

Three cases of successful management of pelvic abscesses after sacrocolpopexy using long-term antibiotics and percutaneous drainage of intra-abdominal abscesses without removing the mesh are presented.

Conclusions

In selected patients who have undergone sacrocolpopexy, with careful counseling, conservative management of pelvic abscesses with percutaneous drainage and long-term antibiotic treatment without the surgical excision of the mesh may play a role.
Literature
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Stepanian A, Miklos J, Moore R, Mattox T. Risk of mesh extrusion and other mesh-related complications after laparoscopic sacral colpopexy with or without concurrent laparoscopic-assisted vaginal hysterectomy: experience of 402 patients. J Minim Invasive Gynecol. 2008;15(2):188–96.CrossRefPubMed
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Metadata
Title
Conservative management of pelvic abscess following sacrocolpopexy: a report of three cases and review of the literature
Authors
Soo Yun Kwon
Stacy Brown
John Hibbeln
Jeffrey Stephen Freed
Publication date
01-06-2017
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 6/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-3189-z

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