Surgical management of mesh infection following laparoscopic sacrocolpopexy and tension-free vaginal mesh surgery: a report of two cases with a literature review

Introduction: The standard management for pelvic abscess or spondylodiscitis after reconstructive surgery previously involved total mesh excision, abscess drainage, and intravenous antibiotic administration. However, only few reports exist regarding the possibility of nonoperative management.

Case presentation: Postoperative mesh infection occurred in two cases of transvaginal mesh and laparoscopic sacrocolpopexy surgery for pelvic organ prolapse. In the first case, intravenous antibiotics were administered and debridement was performed. In the second case, intravenous antibiotics were administered, and local drainage was performed postoperatively, as sacral promontory infiltration was suspected. Diabetes was a comorbidity in both cases.

Conclusion: It is necessary to select patients suitable for vaginal or laparoscopic mesh placement for pelvic organ prolapse preoperatively on the basis of prior history of the patients and once the patients provide informed consent for surgery after being explained the possible complications of pelvic reconstructive surgery, such as mesh infection.