Treatment of Mesh-Associated Abscess Using an Incision-Free Technique: A Case Series

Abstract

Patients who undergo pelvic mesh placement are at risk for developing infectious complications. In the case of an abscess associated with the mesh, removal is often necessary for resolution of the infection. This report describes two cases of delayed abscesses associated with mesh for posterior compartment prolapse and stress urinary incontinence. Definitive treatment for both involved complete removal of the offending portion of mesh without the need for an incision. In patients who develop infectious complications involving pelvic mesh, providers must consider removal of the mesh as a method for source control. Here, exploration of an existing sinus tract allowed for complete mesh removal without the need for extensive dissection. This is especially important in those with medical comorbidities resulting in poor wound healing.




J Clin Gynecol Obstet. 2019;8(1):25-28
doi: https://doi.org/10.14740/jcgo538