Hyperbaric Oxygen Therapy to Promote Vaginal Wall Healing after Salvage Surgery for Mesh-related Complication
Michelle Lightfoot, Caroline L Wallner, Roger Hadley H and Andrea Staack*
Loma Linda University Medical Center, 11234 Anderson Street, Room A560, Loma Linda, CA, USA
- *Corresponding Author:
- Andrea Staack
MD, PhD Department of Urology
Loma Linda University
Medical Center 11234 Anderson Street
Room A560, Loma Linda
California, 92354, USA
E-mail: [email protected]
Received Date: August 12, 2014; Accepted Date: August 18, 2014; Published Date: August 25, 2014
Citation: Lightfoot M, Wallner CL, Hadley H R, Staack A (2014) Hyperbaric Oxygen Therapy to Promote Vaginal Wall Healing after Salvage Surgery for Mesh-related Complication. Anaplastology 3:135. doi: 10.4172/2161-1173.1000135
Copyright: © 2014, Staack A et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Patients with multiple failed vaginal surgeries utilizing synthetic mesh present a therapeutic challenge. We present a case of a 75-year-old woman with severe stress urinary incontinence and mesh extrusion after two failed synthetic sling surgeries. Surgical reconstruction consisted of mesh excision, urethral reconstruction with vaginal tubularization, autologous rectus fascia sling placement. The patient developed a vaginal hematoma and wound dehiscence post-operatively, which was treated with surgical debridement and hyperbaric oxygen (HBO). The patient’s wound healed well, and she regained full continence, which was sustained at 10 months postoperatively. HBO therapy promotes wound healing after complex transvaginal reconstructive surgery.