[Infectious spondylodiscitis after a laparoscopic sacrocolpopexy: about one case]

Gynecol Obstet Fertil. 2009 Feb;37(2):183-5. doi: 10.1016/j.gyobfe.2008.11.013. Epub 2009 Feb 4.
[Article in French]

Abstract

One case of spondylodiscitis, over a period of 18 months after a laparoscopic sacrocolpopexy with suture, was reported. After a needle aspiration of the disco-vertebral space retrieving Pseudomonas, adapted antibiotic treatment and immobilization permit favorable evolution. The clinical, biological and imaging with MRI favorable evolution, prompted not to disassemble the prosthetic material, however this option should be discussed at the outset when large abscess or vaginal fistula or unfavorable evolution with medical treatment. Fixation promontory must interest the prevertebral ligament and not the disc; using suture should be preferred to staples.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Colposcopy / adverse effects*
  • Colposcopy / methods
  • Discitis / drug therapy
  • Discitis / etiology*
  • Female
  • Humans
  • Laparoscopy / adverse effects*
  • Laparoscopy / methods
  • Middle Aged
  • Pseudomonas / isolation & purification
  • Pseudomonas Infections / drug therapy
  • Pseudomonas Infections / etiology*
  • Suture Techniques
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents