Utilizing Hysteroscopic Mesh Resection for Presacral Mesh Infection Following Sacrocolpopexy

IF 0.4 4区医学 Q4 SURGERY Indian Journal of Surgery Pub Date : 2024-09-16 DOI:10.1007/s12262-024-04161-3

Zhenzhen Wu, Chunxiao He, Xudong Han, Bin Ma, Huiling Wang, Yaqin Zhao, Futang Ma, Fang Wang, Qing Liu

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Abstract

This study assessed the feasibility and efficacy of hysteroscopic mesh resection in managing presacral mesh infection following sacrocolpopexy. A retrospective analysis was conducted on three cases of presacral mesh infection treated with hysteroscopic total mesh resection between January 2020 and December 2021. The cases were classified and diagnosed using category-time-site (CTS) coding for complications, and perioperative indicators were evaluated. The mean age of the patients was 61.67 years (SD 4.44). Surgical time averaged 37.33 min (SD 5.11), with an intraoperative bleeding volume of 13.33 ml (SD 4.44). The hospitalization cost was 12,436.43 yuan (SD 2281.79), and the postoperative hospitalization duration was 6.25 days (SD 0.88). The preoperative frailty index was 0.18 in two out of three cases, indicating favorable surgical tolerance. There were no 30-day unplanned readmissions. At 3 months post-operation, the Patient Global Impression of Improvement (PGI-I) score was 100%, indicating good outcomes with a subjective cure rate of 100%. These findings indicate that hysteroscopic mesh resection could be a viable and effective treatment modality for presacral mesh infection following sacrocolpopexy.

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利用宫腔镜网片切除术治疗骶骨成形术后的骶前网片感染

这项研究评估了宫腔镜网片切除术治疗骶骨结节成形术后骶骨前网片感染的可行性和有效性。本研究对 2020 年 1 月至 2021 年 12 月间采用宫腔镜网片全切除术治疗的三例骶前网片感染病例进行了回顾性分析。采用并发症类别-时间-部位（CTS）编码对病例进行了分类和诊断，并对围术期指标进行了评估。患者的平均年龄为 61.67 岁（标清 4.44）。手术时间平均为 37.33 分钟（SD 5.11），术中出血量为 13.33 毫升（SD 4.44）。住院费用为 12,436.43 元（SD 2281.79），术后住院时间为 6.25 天（SD 0.88）。三例中两例的术前虚弱指数为 0.18，表明手术耐受性良好。术后 30 天内没有出现意外再入院情况。术后 3 个月，患者总体改善印象（PGI-I）评分为 100%，表明疗效良好，主观治愈率为 100%。这些研究结果表明，宫腔镜网片切除术是治疗骶骨结节成形术后骶骨前网片感染的一种可行且有效的方法。

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来源期刊

Indian Journal of Surgery SURGERY-

CiteScore

0.60

自引率

25.00%

发文量

412

审稿时长

6-12 weeks

期刊介绍： The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.