Lumbosacral Discitis and Osteomyelitis after Sacrocolpopexy: A Case Series and Review of Management

IF 1.8 3区医学 Q3 OBSTETRICS & GYNECOLOGY

International Urogynecology Journal Pub Date : 2024-09-16 DOI:10.1007/s00192-024-05897-y

Danielle D. Antosh

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引用次数: 0

Abstract

Introduction and Hypothesis

Lumbosacral discitis and osteomyelitis constitute a rare but devastating complication after mesh sacrocolpopexy for pelvic organ prolapse.

Methods

We present a case series of 3 patients at a single institution and a literature review of 30 patients suffering from this complication along with presenting symptoms, evaluation with laboratory and imaging findings, and management.

Results

Lumbosacral discitis can present after sacrocolpopexy of any route (abdominal, laparoscopic, and robotic) and with various suture types and tacking devices. Patients presented with lower back pain at varying time frames and with elevated inflammatory markers, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP).

Conclusion

The majority of cases required both excision of pelvic mesh via laparotomy or laparoscopy in combination with an extended course of intravenous (IV) antibiotics.

Abstract Image

查看原文本刊更多论文

骶椎间盘切除术后的腰骶椎间盘炎和骨髓炎：病例系列和处理回顾

导言和假设腰骶椎间盘炎和骨髓炎是盆腔脏器脱垂网状骶骨整形术后一种罕见但具有破坏性的并发症。结果腰骶椎间盘炎可出现在任何途径（腹腔镜、腹腔镜和机器人）、各种缝合类型和粘连装置的骶骨整形术后。患者会在不同时间出现下背痛，炎症指标、红细胞沉降率（ESR）和C反应蛋白（CRP）升高。结论大多数病例都需要通过开腹手术或腹腔镜手术切除盆腔网片，同时延长静脉注射抗生素的疗程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Urogynecology Journal 医学-妇产科学

CiteScore

3.80

自引率

22.20%

发文量

406

审稿时长

3-6 weeks

期刊介绍： The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion