scholarly journals Biologic Graft Augmentation of Anterior Mesh Erosion Complicated by Poor Wound Healing Secondary to Heavy Tobacco Use

Uro ◽  
2021 ◽  
Vol 1 (3) ◽  
pp. 72-75
Author(s):  
Cheau Williams ◽  
Ethan McBrayer ◽  
Samantha Leggio
Keyword(s):  
Wound Healing ◽  
Double Layer ◽  
Tobacco Use ◽  
Pelvic Organ ◽  
Mesh Erosion ◽  
Sacrospinous Ligament ◽  
Biologic Graft ◽  
Mesh Removal ◽  
Dermal Graft ◽  
Arcus Tendineus

(1) Background: Pelvic organ prolapse (POP) is common among post-menopausal women affecting more than 25% in their lifetime—with 11% having a lifetime risk of undergoing an operation for a POP. In April 2019, the Food and Drug Administration (FDA) took surgical mesh for transvaginal use off the market due to safety and effectiveness concerns. This leaves colporrhaphy or colporrhaphy with bio-graft options for a POP surgical repair. (2) Case: In this report, we look at a case with anterior mesh erosion complicated by poor wound healing secondary to heavy tobacco use and how it was successfully removed and augmented with a Coloplast axis allograft dermis biological graft secured with an Anchorsure sacrospinous ligament/arcus tendineus fascia pelvis fixation device and prolene suture. (3) Results: After failing two prior surgeries to rectify the mesh erosion, a final procedure was performed using a biologic dermal graft and a double-layer closure to aid in protecting and increasing the integrity of the tissue. (4) Conclusions: Collectively, the patient and her surgeries highlight the difficult nature of complete mesh removal and how tobacco use can significantly affect the proper healing of surgical sites. The number of surgeries necessary to address the patient’s chief complaint and the resolution of her symptoms with the biologic graft supports the challenges one faces with mesh removal and poor wound healing secondary to tobacco use. This case illustrates that complicated transvaginal mesh erosion should initially be augmented with a biologic dermal graft secured via sacrospinous ligament/arcus tendineus fascia pelvis fixation and double-layer closure and not only if visible mesh removal alone fails.

scholarly journals Duration of smoking cessation for the prevention of surgical wound healing complications

2014 ◽  
Vol 48 (1) ◽  
pp. 170-176 ◽  
Author(s):  
Barbara Vieira Cavichio ◽  
Daniele Alcalá Pompeo ◽  
Graziella Allana Serra Alves de Oliveira Oller ◽  
Lídia Aparecida Rossi
Keyword(s):  
Wound Healing ◽  
Smoking Cessation ◽  
Tobacco Use ◽  
Latin American ◽  
Scientific Evidence ◽  
Perioperative Period ◽  
Caribbean Literature ◽  
Surgical Wound ◽  
Level Of Evidence ◽  
Tobacco Use Cessation

The study aimed to find scientific evidence about the duration of preoperative smoking cessation required to reduce surgical wound healing complications. An integrative review was performed in the databases, Latin American and Caribbean Literature on Health Sciences (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE), from 08/17/2012 to 09/17/2012, using the keywords: tobacco use cessation and wound healing; tobacco use cessation and preoperative period; tobacco use cessation and perioperative period (LILACS) and tobacco use cessation and perioperative period; tobacco use cessation and wound healing (MEDLINE). Out of the 81 eligible studies, 12 were included. The duration of smoking cessation needed to reduce healing complications was at least four weeks (four studies with level of evidence I, three studies with level of evidence II, two studies with level of evidence IV, and one study with level of evidence VII).

scholarly journals Should we add unilateral sacrospinous ligament fixation to vaginal hysterectomy in management of stage 3 and stage 4 pelvic organ prolapse?

2015 ◽  
Vol 12 (3) ◽  
pp. 144-150 ◽  
Author(s):  
Elif Ağaçayak ◽  
Senem Yaman Tunç ◽  
Mehmet Sait İçen ◽  
Serdar Başaranoğlu ◽  
Fatih Mehmet Fındık ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Vaginal Hysterectomy ◽  
Pelvic Organ ◽  
Sacrospinous Ligament ◽  
Sacrospinous Ligament Fixation ◽  
Stage 4

scholarly journals A Sponge-Like Double-Layer Wound Dressing with Chitosan and Decellularized Bovine Amniotic Membrane for Promoting Diabetic Wound Healing

Polymers ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 535
Author(s):  
Yang Yang ◽  
Yanyan Zhang ◽  
Yishu Yan ◽  
Qian Ji ◽  
Yutong Dai ◽  
...  
Keyword(s):  
Wound Healing ◽  
Double Layer ◽  
Amniotic Membrane ◽  
Wound Dressing ◽  
Bilayer Membrane ◽  
Diabetic Patients ◽  
Thickness Skin ◽  
Layer Membrane ◽  
Sponge Layer

The diabetic wounds do not heal easily in part because they are susceptible to infection due to environmental influences. Wound dressing is crucial to wound healing, as it can basically protect the wound from external damages and provide a suitable microenvironment for tissue regeneration. In this study, a double-layer membrane that consists of chitosan sponge and decellularized bovine amniotic membrane (dBAM) has been developed by freeze-casting method. The results showed that the porous structure of the sponge layer improved the performances of blood coagulation and swelling. The dense dBAM can optimize the mechanical property of wound dressing. In vitro studies revealed that the bilayer membrane had favorable biocompatible, especially for human foreskin fibroblast cells (HFF-1) cell adhesion and proliferation. Moreover, the full-thickness skin defects of diabetic model mice that treated with bilayer membrane showed over 80% closure in 8 days. Our findings imply that the double-layer dressing has great potentials to be used in diabetic patients.

Laparoscopic complete sacrocolpopexy mesh removal for right-sided gluteal pain and recurrent mesh erosion

2019 ◽  
Vol 31 (2) ◽  
pp. 411-413
Author(s):  
Aditi Siddharth ◽  
Rufus Cartwright ◽  
Simon Jackson ◽  
Natalia Price
Keyword(s):  
Mesh Erosion ◽  
Mesh Removal ◽  
Gluteal Pain

scholarly journals Risk factors and management of vaginal mesh erosion after pelvic organ prolapse surgery

2017 ◽  
Vol 56 (2) ◽  
pp. 184-187 ◽  
Author(s):  
Yung-Wen Cheng ◽  
Tsung-Hsien Su ◽  
Hsuan Wang ◽  
Wen-Chu Huang ◽  
Hui-Hsuan Lau
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Mesh Erosion ◽  
Vaginal Mesh ◽  
Prolapse Surgery ◽  
Pelvic Organ Prolapse Surgery

scholarly journals A Novel Technique for Anterior Vaginal Wall Prolapse Repair: Anterior Vaginal Wall Darn

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Osman Köse ◽  
Hasan S. Sağlam ◽  
Şükrü Kumsar ◽  
Salih Budak ◽  
Öztuğ Adsan
Keyword(s):  
Stress Test ◽  
Pelvic Organ ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
New Technique ◽  
Anterior Vaginal Wall Prolapse ◽  
Cough Stress Test ◽  
Arcus Tendineus ◽  
Mucosal Erosion ◽  
A New Technique

Aim. The aim of this study is to introduce a new technique,anterior vaginal wall darn(AVWD), which has not been used before to repair the anterior vaginal wall prolapse, a common problem among women.Materials and Methods. Forty-five women suffering from anterior vaginal wall prolapse were operated on with a new technique. The anterior vaginal wall was detached by sharp and blunt dissection via an incision beginning from the 1 cm proximal aspect of the external meatus extending to the vaginal apex, and the space between the tissues that attach the lateral walls of the vagina to the arcus tendineus fascia pelvis (ATFP) was then darned. Preoperation and early postoperation evaluations of the patients were conducted and summarized.Results. Data were collected six months after operation. Cough stress test (CST), Pelvic Organ Prolapse Quantification (POP-Q) evaluation, Incontinence Impact Questionnaire (IIQ-7), and Urogenital Distress Inventory (UDI-6) scores indicated recovery. According to the early postoperation results, all patients were satisfied with the operation. No vaginal mucosal erosion or any other complications were detected.Conclusion. In this initial series, our short-term results suggested that patients with grade II-III anterior vaginal wall prolapsus might be treated successfully with the AVWD method.

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