| February 2009 · Vol. 21, No. 02 SURGICAL TECHNIQUES
ROUNDTABLE PART 2 OF 2: Using mesh to repair prolapse: Averting, managing complications
Some complications arise from faulty technique. A few may be caused by mesh itself. The expert panel differentiates those two sources of surgical problems.
Mickey
M.
Karram,
MD, MODERATOR;
Vincent
Lucente,
MD, MBA;
Shlomo
Raz,
MD;
Mark
D.
Walters,
MDDr. Karram receives research support from Ethicon Women’s Health and Urology, Allergan, and Biosante and is a consultant and speaker for Astellas, Ethicon Women’s Health and Urology, and CooperSurgical. He has a financial interest in Emedsco.
Dr. Lucente receives grant or research support from and consults for Ethicon, AMS, and Bard and is a speaker for Ethicon and Bard.
Dr. Raz reports no financial relationships relevant to this article.
Dr. Walters is a consultant and speaker for AMS and Boston Scientific.
Hear Dr Phillips discuss the key points of this series
Vaginal placement of mesh for the correction of pelvic organ prolapse is not an entirely benign procedure. As Mickey M. Karram, MD, and an expert panel discuss in this article—the second of a two-part series—complications secondary to mesh placement can be a challenge to correct and often make life miserable for patients who experience them. Here, these experts address mesh erosion, extrusion, and other serious complications; discuss ways to prevent them; and offer strategies for managing them when they arise.
In Part 1, which appeared in the January 2009 issue of OBG Management, the panel discussed the increasing use of mesh in prolapse repair—in particular, the proliferation of mesh kits.
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