Authors: Marianna Alperin
Publish Date: 2014/05/16
Volume: 25, Issue: 11, Pages: 1597-1599
Abstract
Transvaginal repair with mesh of pelvic organ prolapse POP provides women with the durability of a synthetic graft using the lessinvasive route of vaginal surgery However morbidities such as mesh exposures are common and challenging to manage Small intestinal submucosa SIS is a naturally occurring collagen matrix derived from porcine intestine It contains growth factors and cytokines that promote healing of damaged tissue This case report describes a large vaginal mesh exposure due to necrosis of the full thickness of the anterior vaginal wall A remarkable and rapid regeneration of vaginal tissue over the exposed mesh was achieved with SIS placement after failure of treatment with vaginal estrogen for 6 months Collagen scaffold is an effective rapid and minimally invasive treatment for large vaginal mesh exposures
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