Bacteriological analysis of meshes removed for complications after surgical management of urinary incontinence or pelvic organ prolapse

被引：0
作者：
Loïc Boulanger
Malik Boukerrou
Chrystèle Rubod
Pierre Collinet
A. Fruchard
René J. Courcol
Michel Cosson
机构：
[1] Hôpital Jeanne de Flandre,Department of Medical and Surgical Gynecology
[2] Centre Hospitalier Régional et Universitaire,Department of Microbiology
[3] Centre Hospitalier Régional Universitaire de Lille,undefined
[4] Hôpital Jeanne de Flandre,undefined
[5] Centre Hospitalier Régional et Universitaire,undefined
来源：
International Urogynecology Journal | 2008年 / 19卷
关键词：
Mesh; Genital prolapse; Urinary incontinence; Infection;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The aim of this study is to examine the role of bacterial infection in complications following surgical management of urinary incontinence and genital prolapse using meshes. There were sixteen prostheses removed. Eight were monofilament polypropylene-knitted meshes, one was a silicone-coated polypropylene mesh, another was a collagen-coated polypropylene mesh, four were silicone-coated polyester meshes and two were polyester meshes. The most frequent cause for removal was symptomatic vaginal erosion (62%). Cultures were performed under aerobic, anaerobic and enrichment conditions. Infection was multimicrobial for 31% of meshes. When only one bacteria was found, it was Proteus mirabilis in 25% of cases. Forty-three per cent of bacterial quantifications were under 103 colony-forming units per millilitre. Bacterial contamination was found in all meshes, quantification was often low, and therefore, its exact role is not yet clear.
引用
收藏
页码：827 / 831
页数：4
相关论文
共 122 条
[1]  
Belot F(2005)Prosthetic reinforcement by the vaginal approach after surgical repair of pelvic prolapse J Gynecol Obstet Biol Reprod 34 763-767
[2]  
Collinet P(2004)Combined genital prolapse repair reinforced with a polypropylene mesh and tension-free vaginal tape in women with genital prolapse and stress urinary incontinence: a retrospective case–control study with short-term follow-up Acta Obstet Gynecol Scand 83 950-954
[3]  
Debodinance P(2004)Changing attitudes on the surgical treatment of urogenital prolapse: birth of the tension-free vaginal mesh J Gynecol Obstet Biol Reprod 33 577-588
[4]  
Ha Duc E(2004)Cystocele repair by vaginal approach with a tension-free transversal polypropylene mesh. Technique and results. Gynecol Obstet Fertil 32 280-284
[5]  
Lucot JP(2003)Transobturator subvesical mesh. Tolerance and short-term results of a 103 case continuous series Gynecol Obstet Fertil 31 14-19
[6]  
Cosson M(2001)The use of synthetics in the treatment of pelvic organ prolapse Curr Opin Urol 11 429-435
[7]  
de Tayrac R(2002)Development of better tolerated prosthetic materials: applications in gynecological surgery J Gynecol Obstet Biol Reprod 31 527-540
[8]  
Gervaise A(2006)Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors Int Urogynecol J Pelvic Floor Dysfunct 17 315-320
[9]  
Chauveaud-Lambling A(1979)Graft infection or graft reaction? Arch Surg 114 1419-1422
[10]  
Fernandez H(1988)Pathobiology of infection in prosthetic devices Rev Infect Dis 10 1102-1117
12345678910