Society of gynecologic surgeons

A novel approach to complete transobturator sling mesh removal

OBG Manag. 2019 October;31(10)

By

Nancy Ringel, MD

Cheryl Iglesia, MD

Robert Henshaw, MD

Sarah Bradley, MD

Brought to you by the Society of Gynecologic Surgeons. In this video, the authors demonstrate tips and tricks for removing the entirety of transobturator sling mesh. As groin dissection is often inadequate to localize mesh, they identify the mesh transvaginally and use a vessel loop to delineate the mesh borders. They then divide the mesh in the midline, tag the medial edges with sutures, grasp these sutures with a clamp passed through the lateral groin dissection, and completely remove the mesh through the groin incision using the clamp.

Recommended Reading

Lymphoma risk prompts FDA recall of Allergan’s textured breast implants

Office hysteroscopic evaluation of postmenopausal bleeding

Morcellation use in gynecologic surgery: Current clinical recommendations and cautions

Product Update: Osphena’s NDA, new hysteroscope, TempSure RF technology, Resilient stirrup covers

Predictive model estimates likelihood of failing induction of labor in obese patients

Minimally invasive surgery for cervical cancer: Is surgeon volume a factor?

Native tissue repair of POP: Surgical techniques to improve outcomes

Embryologic development of the external genitalia as it relates to vaginoplasty for the transgender woman

Native tissue repair of POP: Apical suspension, anterior repair, and posterior repair

Trial of mesh vs. hysterectomy for prolapse yields inconclusive results