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Obstetrics & Gynecology 2007;110:463-464
© 2007 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Retroperitoneal Hemorrhage After a Vaginal Mesh Prolapse Procedure

Nirupa Gangam, HBSc, MD and Allan Kanee, MD, FRCSC

From McMaster University Hospital, Hamilton, and Credit Valley Hospital, Mississauga, Ontario, Canada.

BACKGROUND: The present study describes a complication of a transvaginal pelvic floor repair system for the treatment of anterior vaginal prolapse.

CASE: A postmenopausal woman with anterior vaginal wall prolapse was treated with a transvaginal nonabsorbable polypropylene mesh system. The procedure was complicated by a large perioperative retroperitoneal hematoma.

CONCLUSION: The insertion of synthetic meshes in gynecologic surgery is gaining popularity, but all pelvic surgeons should be aware of the potential complications associated with these new techniques.






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