Introduction and hypothesis
Sacrocolpopexy is considered to be the gold-standard procedure for apical compartment prolapse. However, complications such as sacral hemorrhage, small bowel obstruction, port site herniation, mesh erosion, mesh exposure, and occasionally discitis may occur. The aim of this study is to show laparoscopic treatment of L5–S1 discitis 3 months following laparoscopic sacrocolpopexy.
Two surgical interventions of a case with narrated video footage is presented.
Laparoscopic sacrocolpopexy following hysterectomy in the first part and re-laparoscopy because of a diagnosis of discitis refractory to medical treatment, and removal of mesh along with anterior L5–S1 discectomy for curative debridement in the second part is demonstrated.
Frequency of postoperative discitis has been increased by the widespread use of a laparoscopic approach. In order to reduce the complication rate, surgical technique allowing the needle to penetrate only the depth of the anterior longitudinal ligament and usage of monofilament suture for mesh attachment is recommended. In treatment, removal of the sacral mesh, and even extensive tissue debridement, may be necessary.
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This study was approved by the Baskent University Institutional Review Board and supported by Baskent University Research Fund.
Conflicts of interest
The authors declare that they have no conflicts of interest.
Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
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Doğan Durdağ, G., Alemdaroğlu, S., Durdağ, E. et al. Lumbosacral discitis as a rare complication of laparoscopic sacrocolpopexy. Int Urogynecol J (2020). https://doi.org/10.1007/s00192-020-04331-3