Display options
Cite
Müller PC, Berchtold C, Kuemmerli C, et al. Spondylodiscitis after minimally invasive recto- and colpo-sacropexy: Report of a case and systematic review of the literature. J Minim Access Surg. 2020;16(1):5-12doi: 10.4103/jmas.JMAS_235_18.
Müller, P. C., Berchtold, C., Kuemmerli, C., Ruzza, C., Z'Graggen, K., & Steinemann, D. C. (2020). Spondylodiscitis after minimally invasive recto- and colpo-sacropexy: Report of a case and systematic review of the literature. Journal of minimal access surgery, 16(1), 5-12. https://doi.org/10.4103/jmas.JMAS_235_18
Müller, Philip C, et al. "Spondylodiscitis after minimally invasive recto- and colpo-sacropexy: Report of a case and systematic review of the literature." Journal of minimal access surgery vol. 16,1 (2020): 5-12. doi: https://doi.org/10.4103/jmas.JMAS_235_18
Müller PC, Berchtold C, Kuemmerli C, Ruzza C, Z'Graggen K, Steinemann DC. Spondylodiscitis after minimally invasive recto- and colpo-sacropexy: Report of a case and systematic review of the literature. J Minim Access Surg. 2020 Jan-Mar;16(1):5-12. doi: 10.4103/jmas.JMAS_235_18. PMID: 30416143; PMCID: PMC6945346.
Copy Download .nbib Format: NLM
Share it on

J Minim Access Surg. 2020 Jan-Mar;16(1):5-12. doi: 10.4103/jmas.JMAS_235_18.

Spondylodiscitis after minimally invasive recto- and colpo-sacropexy: Report of a case and systematic review of the literature.

Journal of minimal access surgery

Philip C Müller, Caroline Berchtold, Christoph Kuemmerli, Claudio Ruzza, Kaspar Z'Graggen, Daniel C Steinemann

Affiliations

  1. Department of Surgery, Klinik Beau-Site, 3013 Bern, Switzerland.
  2. Department of Surgery, Pelvic Floor Unit, St. Clara Hospital Basel, 4016 Basel, Switzerland.

PMID: 30416143 PMCID: PMC6945346 DOI: 10.4103/jmas.JMAS_235_18

Abstract

BACKGROUND: Rectopexy and colpopexy are established surgical techniques to treat pelvic organ prolapse. Spondylodiscitis (SD) after rectopexy and colpopexy represents a rare infectious complication with severe consequences. We presented a case of SD after rectopexy and performed a systematic review.

METHODS: A systematic literature search was performed to identify case reports or case series reporting on SD after rectopexy or colpopexy. The main outcomes measures were time from initial surgery to SD, presenting symptoms, occurrence of mesh erosion or fistula formation and type of treatment.

RESULTS:XS: Forty-one females with a median age of 59 (54-66) years were diagnosed with SD after a median of 76 (30-165) days after initial surgery. Most common presenting symptoms were back pain (n = 35), fever (n = 20), pain radiation in the legs (n = 9) and vaginal discharge (n = 6). A mesh erosion (n = 8) or fistula formation (n = 7) was detected in a minority of cases. The treatment of SD consisted of conservative treatment with antibiotics alone in 29%, whereas 66% of the patients had to undergo additional surgical treatment. If a revision surgery was necessary, more than one intervention was performed in 40%. Mesh and tack excision was performed in most cases (n = 21), whereas a neurosurgical intervention was necessary in 10 patients.

CONCLUSION: Although a rare complication, surgeons performing rectopexy and colpopexy must be aware of the potential risk of SD Careful suture or tack placement into the anterior longitudinal ligament at the level of the promontory while avoiding the disc space is of paramount importance. Prompt diagnosis and multidisciplinary management are the cornerstones of a successful treatment.

Keywords: Colpopexy; complication; pelvic organ prolapse; rectopexy; spondylodiscitis

Conflict of interest statement

None

References

  1. BJOG. 2003 May;110(5):537-8 - PubMed
  2. Obstet Gynecol. 2006 Feb;107(2 Pt 2):475-7 - PubMed
  3. Obstet Gynecol. 2009 May;113(5):1098-103 - PubMed
  4. Int Urogynecol J. 2015 Mar;26(3):353-8 - PubMed
  5. Eur J Obstet Gynecol Reprod Biol. 2015 Nov;194:43-8 - PubMed
  6. Obstet Gynecol. 2012 Aug;120(2 Pt 2):464-8 - PubMed
  7. Gynecol Obstet Fertil. 2009 Feb;37(2):183-5 - PubMed
  8. Int J Gynaecol Obstet. 2010 Dec;111(3):268-9 - PubMed
  9. Am J Obstet Gynecol. 2014 Nov;211(5):547.e1-8 - PubMed
  10. Female Pelvic Med Reconstr Surg. 2014 May-Jun;20(3):180-3 - PubMed
  11. J Rheumatol. 1994 Sep;21(9):1769-70 - PubMed
  12. Obstet Gynecol. 2004 May;103(5 Pt 2):1037-40 - PubMed
  13. J R Coll Surg Edinb. 2002 Oct;47(5):709-10 - PubMed
  14. Tech Coloproctol. 2017 Jan;21(1):63-64 - PubMed
  15. J Gynecol Obstet Biol Reprod (Paris). 1991;20(8):1074-8 - PubMed
  16. Obstet Gynecol. 2010 Aug;116 Suppl 2:513-5 - PubMed
  17. Surg Infect (Larchmt). 2012 Apr;13(2):134-5 - PubMed
  18. Int J Colorectal Dis. 2011 Feb;26(2):255-6 - PubMed
  19. Tech Coloproctol. 2015 Apr;19(4):263-5 - PubMed
  20. Int Orthop. 2012 Feb;36(2):397-404 - PubMed
  21. Acta Obstet Gynecol Scand. 2002 Jun;81(6):567-8 - PubMed
  22. J Minim Invasive Gynecol. 2008 May-Jun;15(3):370-2 - PubMed
  23. J Surg Case Rep. 2014 Aug 01;2014(8):null - PubMed
  24. Obstet Gynecol. 2011 Aug;118(2 Pt 2):451-4 - PubMed
  25. J Infect. 2008 Jun;56(6):401-12 - PubMed
  26. Int Urogynecol J. 2012 Mar;23(3):375-7 - PubMed
  27. Cochrane Database Syst Rev. 2015 Nov 24;(11):CD001758 - PubMed
  28. Int Urogynecol J. 2014 Jan;25(1):21-31 - PubMed
  29. Obstet Gynecol. 1997 Oct;90(4 Pt 2):689-91 - PubMed
  30. Int J Surg Case Rep. 2016;24:219-22 - PubMed
  31. Cureus. 2016 Jul 05;8(7):e671 - PubMed
  32. Ann Chir. 2001 Jul;126(6):554-6 - PubMed
  33. Ann Surg. 2015 Nov;262(5):742-7; discussion 747-8 - PubMed
  34. Baillieres Best Pract Res Clin Rheumatol. 1999 Mar;13(1):59-75 - PubMed
  35. Female Pelvic Med Reconstr Surg. 2016 Jan-Feb;22(1):e6-7 - PubMed
  36. Int Urogynecol J. 2010 Dec;21(12):1569-71 - PubMed
  37. J Antimicrob Chemother. 2010 Nov;65 Suppl 3:iii11-24 - PubMed
  38. Eur J Obstet Gynecol Reprod Biol. 2015 Apr;187:72 - PubMed
  39. Dis Colon Rectum. 2015 Aug;58(8):799-807 - PubMed
  40. Female Pelvic Med Reconstr Surg. 2014 Nov-Dec;20(6):e5-7 - PubMed
  41. Obstet Gynecol. 2004 Oct;104(4):805-23 - PubMed

Publication Types