Abstract
Graft augmentation for repair of recurrent pelvic organ prolapse is commonly used in reconstructive pelvic surgery. The reported complications are mainly late onset. We report a case of early-onset inflammatory reaction following bovine pericardium graft augmentation for posterior vaginal wall defect repair. A 49-year-old presented with a recurrent and symptomatic posterior vaginal wall defect. She underwent an uneventful site-specific repair and bovine graft augmentation. Her early postoperative course was complicated by inflammatory response to the graft presenting as intense pelvic floor spasm and urinary retention. The condition was managed conservatively and resolved subsequently. One year later, the patient continues to be asymptomatic. Transient intense pelvic floor spasm and urinary retention can be the result of inflammatory reaction following graft augmentation with bovine pericardium for posterior vaginal wall defect repair.
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References
Richardson CA (1993) The rectovaginal septum revisited. Its relationship to rectocele and its importance in rectocele repair. Clin Obstet Gynecol 36:976–983
Kohli N, Miklos JR (2003) Dermal graft-augmented rectocele repair. Int Urogynecol J 14:146–149
Oster S, Astrup A (1981) A new vaginal operation for recurrent and large rectocele using dermis transplant. Acta Obstet Gynecol Scand 60:493–495
Watson SJ, Loder PB, Halligan S, Bartram CI, Kamm MA, Phillips RKS (1996) Transperineal repair of symptomatic rectocele with Marlex mesh: a clinical, physiological and radiologic assessment of treatment. J Am Coll Surg 183:257–261
Lyons TL, Winer W (1997) Laparoscopic rectocele repair using polyglactin mesh. J Am Gynecol Laparosc 4:381
Lansman HH (1984) Posthysterectomy vault prolapse: sacral colpopexy with dura mater graft. Obstet Gynecol 63:577–582
Bump RC, Mattiasson A, Bo K et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17
Smith ARB, Hosker GL, Warrell DW (1989) The role of partial denervation of the pelvic floor in the aetiology of genitourinary prolapse and stress incontinence of urine. A neurophysiologic study. Br J Obstet Gynaecol 96:24–28
Gilpin SA, Gosling JA, Smith ARB et al (1989) The pathogenesis of genitourinary prolapse and stress incontinence of urine. A histological and histochemical study. Br J Obstet Gynaecol 96:15–23
Norton PA, Baker JE, Sharp HC et al (1995) Genitourinary prolapse and joint hypermobility in women. Obstet Gynecol 85:225–228
Smith P, Heimer G, Norgen A et al (1990 ) Steroid hormone receptors in pelvic muscles and ligament in women. Gynecol Obstet Invest 30:27–30
Timmons MC, Addison WA (1997) Mesh erosion after abdominal sacral colpopexy. J Pelvic Surg 1:75–80
Fitzgerald MP, Mollenhauer J, Brubaker L (1999) Failure of allograft slings. BJU Int 84:785–788
Eng J, Ravichandran PS, Abbott CR, Kay PH, Murday AJ, Shreiti I (1989) Reoperation after pericardial closure with bovine pericardium. Ann Thorac Surg. 48:813–815
Pais VM Jr, Jiang Z, Fung LC (2002) Foreign body reaction to bovine pericardium: a previously unreported complication of pediatric chordee repair. J Urol 168:702–703
Stothers L, Goldenberg SL (1988) Delayed hypersensitivity and systemic arthralgia following transurethral collagen injection for stress urinary incontinence. J Urol 159:1507–1509
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Lazarou, G., Powers, K., Pena, C. et al. Inflammatory reaction following bovine pericardium graft augmentation for posterior vaginal wall defect repair. Int Urogynecol J 16, 242–244 (2005). https://doi.org/10.1007/s00192-004-1230-0
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DOI: https://doi.org/10.1007/s00192-004-1230-0