• Eur. J. Obstet. Gynecol. Reprod. Biol. · Mar 2019

    Review

    Managing pain after synthetic mesh implants in pelvic surgery.

    • Philip Toozs-Hobson, Linda Cardozo, and Timothy Hillard.
    • Birmingham Women's and Children's NHS foundation Trust, Birmingham B15 2TG, United Kingdom. Electronic address: Philip.toozs-hobson@bwnft.nhs.uk.
    • Eur. J. Obstet. Gynecol. Reprod. Biol. 2019 Mar 1; 234: 49-52.

    AbstractPelvic mesh surgery has courted controversy with around 10% of patients experiencing complications. This article concentrates on the factors around pain, its presentation and management. Immediate pain is related to insertion and immediate removal recommended. With later presentation excision of the mesh relieves pain in up to 80% of women. Infection may be contributory but in refractory cases other factors maybe involved. Idiosyncratic reaction to mesh without risk factors appears to be relatively rare.Copyright © 2019 Elsevier B.V. All rights reserved.

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