Retained surgical needle after laparoscopic sacrocolporectopexy: usefulness of CT fluoroscopy-guided hook-wire placement before surgical removal.

摘要

Prolapse of pelvic organs is a common condition that involves the descent of one or more of the pelvic organs. In women with a combination of urogenital and rectal prolapse, laparoscopic surgery is one of the treatment options for cure. The increased use of laparoscopic surgery in the treatment of pelvic floor dysfunction has led to a variety of specific complications, including mesh erosion, small bowel occlusion, staple or tack migration, and bladder injuries. To the authors' knowledge, a retained surgical needle is a rare complication of laparoscopic surgery. The preoperative use of a hook-wire system for accurate intraoperative localization and subsequent surgical removal has been successfully proposed for breast tumours and pulmonary nodules, but this technique has not been reported yet for the localization of a retained surgical needle in the pelvis.We report a case of a retained surgical needle causing complex pelvic pain after laparoscopic mesh sacrocolporectopexy, which was surgically removed after CT fluoroscopy-guided hook-wire placement.