Published in:
10-10-2023 | Spondylodiscitis | How I Do It
Mesh excision secondary to spondylodiscitis after colposacropexy graft rejection: a step by step video
Authors:
J. Sanz Pablos, E. Cabezas Lopez, M. Miró Matos, I. López Carrasco, N. Montero Pastor, E. Moratalla Bartolome
Published in:
Techniques in Coloproctology
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Issue 12/2023
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Abstract
Introduction
Spondylodiscitis secondary to colposacropexy is an extremely rare entity. Infection and mesh rejection are the main causes. Removal of the mesh is essential for patient’s recovery and it can be a very challenging surgical procedure.
Case
A 72-year-old woman presented with severe low back pain in the context of a recent colposacropexy. Magnetic resonance imaging was performed and spondylodiscitis secondary to prolapse correction surgery with mesh was suspected. In order to ensure an adequate recovery, removal of the mesh was required.
Conclusions
Spondylodiscitis secondary to colposacropexy should be suspected when the patient starts with moderate lumbar pain and is not correctly controlled with first-level analgesia. Infection or mesh rejection should be considered. Mesh rejection should be suspected when the patient does not improve after antibiotics. Complete removal of the mesh is needed in order to ensure the patient’s recovery.