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Critical Anatomic Concepts for Safe Surgical Mesh

CORTON, MARLENE M. MD, MSCS

Clinical Obstetrics and Gynecology: June 2013 - Volume 56 - Issue 2 - p 247–256
doi: 10.1097/GRF.0b013e31828e629c
Devices and Meshes for the Surgical Treatment of Prolapse and Incontinence

A comprehensive knowledge of the boundaries, contents, and interactions between surgical spaces is essential to safely and effectively perform mesh-augmented prolapse repairs and anti-incontinence procedures. This knowledge is also critical when managing intraoperative and postoperative complications such as bleeding, visceral injury, mesh erosion, exposure, or extrusion, and pelvic pain, groin pain, and dyspareunia. We present a detailed description of the surgical spaces entered during mesh augmented vaginal repair procedures and suggest strategies to avoid nerve and visceral injuries.

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

The author declares that there is nothing to disclose.

Correspondence: Marlene M. Corton, MD, MSCS, Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX. E-mail: marlene.corton@utsouthwestern.edu

© 2013 by Lippincott Williams & Wilkins.