Transcervical drainage of abdominal-pelvic abscess after laparoscopic sacrocolpopexy

E García García, S de Miguel Manso, J Gobernado Tejedor, B de Andrés Asenjo, V Pascual Escudero, J I González Martín
International Urogynecology Journal 2020 July 8

INTRODUCTION AND HYPOTHESIS: Abdominopelvic abscess is a serious, but infrequent, postoperative complication of sacrocolpopexy, which a priori requires a second surgery to debride the affected tissue and dry out the infected mesh in addition to a prolonged broad-spectrum antibiotic therapy.

METHODS: We present two cases of post-surgical abdominopelvic abscesses, treated with conservative management using ultrasound-guided transcervical drainage and prolonged antibiotic therapy. Both patients underwent a favorable evolution without needing the removal of the mesh.

CONCLUSIONS: Because of the search for new alternatives to avoid mesh removal and the comorbidity associated with a second surgery, transcervical drainage is a treatment to be considered in selected cases.

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