An innovative approach to treating vaginal mesh exposure after abdominal sacral colpopexy: endoscopic resection of mesh and platelet-rich plasma; initial experience in three women

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• 作者：Daniele Castellani ; Alessandra Valloni…
• 关键词：Mesh complication ; Natural orifice endoscopic surgery ; PlasmaKinetic energy ; Platelet ; rich gel ; Platelet ; rich plasma ; Sacrocolpopexy
• 刊名：International Urogynecology Journal
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：28
• 期：2
• 页码：325-327
• 全文大小：
• 刊物主题：Gynecology; Urology;
• 出版者：Springer London
• ISSN：1433-3023
• 卷排序：28

文摘

Introduction and hypothesisPolypropylene mesh exposure is uncommon after abdominal sacral colpopexy (ASC), but in case of symptomatic vaginal mesh exposure, surgery is needed. When treating it, care must be taken to completely remove the exposed mesh (EM), saving as much vaginal tissue as possible to avoid a subsequent shortened and narrowed vagina. In this video, we present a minimally invasive technique for treating EM after ASC using endoscopic mesh resection and autologous platelet-rich plasma (PRP) technology.