Complications after anterior/posterior repair with mesh
A Nevada woman underwent a laparoscopic vaginal hysterectomy with removal of both ovaries and fallopian tubes in 2010. The gynecologist then performed anterior and posterior repairs using mesh. The patient complained of vaginal discharge along with pain and bleeding shortly after surgery. She was treated with at least 2 courses of antibiotics and underwent an abdominal-pelvic CT scan for pelvic pain. She was diagnosed with vaginal cuff granulations as a cause of her vaginal discharge and pain. Her pain continued, and 10 months after her original surgery she underwent a vaginal tissue biopsy. The testing noted fecal material present and a small bowel-vaginal fistula was diagnosed. She then underwent a laparoscopic enterectomy, urethral Iysis, anomental pedicle flap, and a cystoscopy. On laparoscopic examination, there was a clear perforation of what appeared to be Gore-Tex mesh or graft material through the loop of the small bowel. One year after the initial operation the patient then experienced increased spinal pain, and a lumbar MRI revealed new fluid/abscess in the disk extending through the tract anterior into the soft tissues of the pelvis. She underwent intensive antibiotic therapy in the hospital and at home for a prolonged period.
The woman sued the gynecologist and alleged he fell below the standard of care in his treatment of her conditions.
The gynecologist denied all allegations and the jury returned a defense verdict.