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Research ArticleOriginal Article
Open Access

Mesh erosion after pelvic reconstructive surgeries

Yan Ren, Li Hong, Xue-xian Xu and Xiao-ying Qi
Saudi Medical Journal February 2010, 31 (2) 180-184;
Yan Ren
Department of Gynecology and Obstetrics, Renmin Hospital of Wuhan University, Hubei, China.
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Li Hong
Department of Gynecology and Obstetrics, Renmin Hospital of Wuhan University, Hubei, China.
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Xue-xian Xu
Department of Gynecology and Obstetrics, Renmin Hospital of Wuhan University, Hubei, China.
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Xiao-ying Qi
Department of Gynecology and Obstetrics, Renmin Hospital of Wuhan University, Hubei, China.
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Abstract

OBJECTIVE: To report our experience on the erosion of polypropylene mesh used in pelvic reconstructive surgeries, and to discuss the pathological changes of mesh erosion.

METHODS: We conducted a retrospective study of 128 patients receiving pelvic reconstructive surgeries with polypropylene mesh from May 2006 to May 2009 in the Department of Gynecology and Obstetrics, Renmin Hospital of Wuhan University, Hubei, China. Data regarding patient demographics, operation notes, and follow up were collected.

RESULTS: The mean follow-up time for the 128 patients was 15.2 (1.3-60) months. Seven patients were diagnosed with vaginal mesh erosion (Prolene mesh), and one of them suffered from anaphylactoid breakout related to the mesh. The mean (+/- standard deviation) time occurring in the mesh erosion was 9.1 +/- 7.6 months. All the 7 patients were treated with surgery. Chronic inflammation was the main pathological manifestations in the eroded tissue.

CONCLUSION: Most cases of polypropylene mesh erosions occur within one year postoperatively. Removal of the mesh could be the best therapy for mesh erosion. Further study is needed to determine if the polypropylene mesh induces supersensitivity.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 31 (2)
Saudi Medical Journal
Vol. 31, Issue 2
1 Feb 2010
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Mesh erosion after pelvic reconstructive surgeries
Yan Ren, Li Hong, Xue-xian Xu, Xiao-ying Qi
Saudi Medical Journal Feb 2010, 31 (2) 180-184;

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Mesh erosion after pelvic reconstructive surgeries
Yan Ren, Li Hong, Xue-xian Xu, Xiao-ying Qi
Saudi Medical Journal Feb 2010, 31 (2) 180-184;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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