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Laparoscopic Repair of Enterocervical Fistula After Mesh Erosion Into the Sigmoid Colon and Cervix After Robotic Supracervical Hysterectomy and Sacrocervicopexy.
Female Pelvic Med Reconstr Surg. 2016 Jan-Feb; 22(1):e3-5.FP

Abstract

OBJECTIVES

To discuss risk factors and describe laparoscopic management of an unusual late complication of sacrocolpopexy mesh erosion resulting in enterocervical fistula after supracervical hysterectomy and robotic sacrocervicopopexy.

CASE

We report on a unique case of a long-term mesh complication after robotic supracervical hysterectomy and polypropylene mesh sacrocervicopexy. Four years after the procedure, the patient was found to have mesh extrusion through the cervical os as well as mesh erosion into the sigmoid colon with a connecting enterocervical fistula.

CONCLUSIONS

A laparoscopic approach was used successfully to address the complications. The case is unique because of the success of minimally invasive surgery in its management and multiple sites of erosion with a connecting fistula.

Authors+Show Affiliations

From the Atlanta Urogynecology Associates, Atlanta, GA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26516811

Citation

Mickelson, Leah, et al. "Laparoscopic Repair of Enterocervical Fistula After Mesh Erosion Into the Sigmoid Colon and Cervix After Robotic Supracervical Hysterectomy and Sacrocervicopexy." Female Pelvic Medicine & Reconstructive Surgery, vol. 22, no. 1, 2016, pp. e3-5.
Mickelson L, Miklos JR, Moore RD. Laparoscopic Repair of Enterocervical Fistula After Mesh Erosion Into the Sigmoid Colon and Cervix After Robotic Supracervical Hysterectomy and Sacrocervicopexy. Female Pelvic Med Reconstr Surg. 2016;22(1):e3-5.
Mickelson, L., Miklos, J. R., & Moore, R. D. (2016). Laparoscopic Repair of Enterocervical Fistula After Mesh Erosion Into the Sigmoid Colon and Cervix After Robotic Supracervical Hysterectomy and Sacrocervicopexy. Female Pelvic Medicine & Reconstructive Surgery, 22(1), e3-5. https://doi.org/10.1097/SPV.0000000000000211
Mickelson L, Miklos JR, Moore RD. Laparoscopic Repair of Enterocervical Fistula After Mesh Erosion Into the Sigmoid Colon and Cervix After Robotic Supracervical Hysterectomy and Sacrocervicopexy. Female Pelvic Med Reconstr Surg. 2016 Jan-Feb;22(1):e3-5. PubMed PMID: 26516811.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic Repair of Enterocervical Fistula After Mesh Erosion Into the Sigmoid Colon and Cervix After Robotic Supracervical Hysterectomy and Sacrocervicopexy. AU - Mickelson,Leah, AU - Miklos,John R, AU - Moore,Robert D, PY - 2015/10/31/entrez PY - 2015/10/31/pubmed PY - 2016/9/20/medline SP - e3 EP - 5 JF - Female pelvic medicine & reconstructive surgery JO - Female Pelvic Med Reconstr Surg VL - 22 IS - 1 N2 - OBJECTIVES: To discuss risk factors and describe laparoscopic management of an unusual late complication of sacrocolpopexy mesh erosion resulting in enterocervical fistula after supracervical hysterectomy and robotic sacrocervicopopexy. CASE: We report on a unique case of a long-term mesh complication after robotic supracervical hysterectomy and polypropylene mesh sacrocervicopexy. Four years after the procedure, the patient was found to have mesh extrusion through the cervical os as well as mesh erosion into the sigmoid colon with a connecting enterocervical fistula. CONCLUSIONS: A laparoscopic approach was used successfully to address the complications. The case is unique because of the success of minimally invasive surgery in its management and multiple sites of erosion with a connecting fistula. SN - 2154-4212 UR - https://www.unboundmedicine.com/medline/citation/26516811/Laparoscopic_Repair_of_Enterocervical_Fistula_After_Mesh_Erosion_Into_the_Sigmoid_Colon_and_Cervix_After_Robotic_Supracervical_Hysterectomy_and_Sacrocervicopexy_ L2 - https://doi.org/10.1097/SPV.0000000000000211 DB - PRIME DP - Unbound Medicine ER -