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Tension-Free Vaginal Mesh Repair for Recurrence of Pelvic Organ Prolapse after Vaginal Mesh Procedures: A Case Report

机译:阴道网手术后无张力阴道网修复盆腔器官脱垂复发的病例报告

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摘要

A 61-year-old woman presented with the chief complaint of a vaginal bulge for 2 years. She had undergone two operationsfor pelvic organ prolapse. The initial procedure wasthe Manchester procedure and posterior colporrhaphy, and the second was a vaginal repair with mesh for recurrent rectocele 3 years after the initial surgery. She noticed the vaginal bulge shortly after the second surgery. A gynecological examination revealed a stage III rectocele associated with a 2 cm, firm mass at the posterior vaginal wall. T2-weighted magnetic resonance imaging showed a 2×3 cm high-intensity mass located between the vaginal wall and rectum. The recurrent rectocele might have been caused by incomplete support from the mesh, which was not fixed in the vaginal wall, resulting in formation of a mass. The patient underwent complete mesh removal and tension-free vaginal mesh-posterior surgery for the rectocele. The excised mesh had shrunk froma 7×5 cm rectangle mesh preoperatively into a firm 2×2×3 cm mass. No recurrence has been seen for 18 months postoperatively.
机译:一名61岁妇女因主诉阴道隆凸而出现了2年。她接受了两次盆腔器官脱垂手术。最初的手术是曼彻斯特手术和后结肠镜检查,第二次是在初次手术后3年内行网状阴道修复术,以复发性直肠前凸。在第二次手术后不久,她注意到阴道隆起。妇科检查发现,在阴道后壁2厘米牢固的肿块伴有III期直肠膨出。 T2加权磁共振成像显示位于阴道壁和直肠之间的2×3 cm高强度肿块。直肠前突复发可能是由于未固定在阴道壁上的网状支撑不完全导致,从而形成了肿块。该患者接受了完全的网孔切除术和无张力的阴道网膜后路手术治疗直肠膨出。术前将切下的网眼从7×5 cm的矩形网眼缩小成牢固的2×2×3 cm的块。术后18个月未见复发。

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