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Laparoscopic Repair of Enterocervical Fistula After Mesh Erosion Into the Sigmoid Colon and Cervix After Robotic Supracervical Hysterectomy and Sacrocervicopexy

Mickelson, Leah DO, MS; Miklos, John R. MD; Moore, Robert D. DO

Female Pelvic Medicine & Reconstructive Surgery: January/February 2016 - Volume 22 - Issue 1 - p e3–e5
doi: 10.1097/SPV.0000000000000211
Case Reports
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Objectives To discuss risk factors and describe laparoscopic management of an unusual late complication of sacrocolpopexy mesh erosion resulting in enterocervical fistula after supracervical hysterectomy and robotic sacrocervicopopexy.

Case We report on a unique case of a long-term mesh complication after robotic supracervical hysterectomy and polypropylene mesh sacrocervicopexy. Four years after the procedure, the patient was found to have mesh extrusion through the cervical os as well as mesh erosion into the sigmoid colon with a connecting enterocervical fistula.

Conclusions A laparoscopic approach was used successfully to address the complications. The case is unique because of the success of minimally invasive surgery in its management and multiple sites of erosion with a connecting fistula.

A laparoscopic approach was used successfully to address the complications of mesh erosion into the sigmoid colon and cervical os with enterocervical fistula.

From the Atlanta Urogynecology Associates, Atlanta, GA.

Reprints: Robert D. Moore, DO, Atlanta Urogynecology Associates, Atlanta, GA. E-mail: RDM@miklosandmoore.com.

The authors have declared they have no conflicts of interest.

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.