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Abdominal Extraperitoneal Excision of a Foreign Body in the Pararectal Space

Patel, Minita MD; Currie, John MD; Tulikangas, Paul K. MD

Female Pelvic Medicine & Reconstructive Surgery: May-June 2011 - Volume 17 - Issue 3 - p 144-146
doi: 10.1097/SPV.0b013e3182175d91
Case Reports

Permanent suture material and synthetic grafts can be used as part of pelvic organ prolapse surgery. These materials are often attached to the sacrospinous ligament or passed in retroperitoneal spaces. There is a risk for erosion and granulation tissue formation with any of these materials. Typically, this is managed through a transvaginal incision.

We present a case of a postmenopausal woman with persistent granulation tissue and a sinus tract from a braided polyester (Ethibond) suture placed in the right sacrospinous ligament fixation. After failing several attempts at treating this granulation tissue through a vaginal incision, we managed this via an abdominal retroperitoneal approach.

Retroperitoneal approach to excision of foreign body.

From the Divisions of *Urogynecology, and †Gynecologic Oncology, Department of Obstetrics and Gynecology, Hartford Hospital, Hartford, CT.

Reprints: Minita Patel, MD, Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital, 85 Seymour Street, Suite 525, Hartford, CT 06106. E-mail:

No funding was received for this study.

The authors have no disclosures to report.

Copyright © 2011 Wolters Kluwer Health, Inc. All rights reserved.