Transvaginal mesh product leads to bowel perforation and sepsis

ByMichael Talve, CEO

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Updated onApril 10, 2018

Transvaginal mesh product leads to bowel perforation and sepsis

This case involves a sixty-two-year-old woman who presented to her women’s health clinic complaining of severe postmenopausal bleeding along with pelvic organ prolapse. The patient underwent several rounds of diagnostic testing and her physician suggested that her issue would be best resolved with a total abdominal hysterectomy. The patient underwent an open hysterectomy procedure that was repaired with a mesh product, but shortly after the initial procedure, several complications ensued. The patient was identified to have a bowel perforation from an invasion of the mesh product into the abdominal tissue. The implant invasion and bowel perforation led to a fulminant infection, sepsis, and shock. The long-term, hypotensive episodes led to chronic kidney failure and the need for lifelong peritoneal dialysis.

Question(s) For Expert Witness

1. What is the standard of care in treating pelvic organ prolapse after a total abdominal hysterectomy?

Expert Witness Response E-000554

inline imageThe recommended management strategy for severe symptomatic pelvic organ prolapse for patients who failed or refused a trial of pessary management is surgery. A variety of surgical approaches are available to correct pelvic organ prolapse. Despite the widespread use of polypropylene mesh for transabdominal correction of apical vaginal prolapse, the use of grafts for transvaginal prolapse repair has been controversial. Few prospective randomized controlled trials have been published on the use of grafts in transvaginal anterior vaginal prolapse repair. Additionally, few human studies exist comparing various grafts and techniques.

About the author

Michael Talve, CEO

Michael Talve, CEO

Michael Talve stands at the forefront of legal innovation as the CEO and Managing Director of Expert Institute. Under his leadership, the Expert Institute has established itself as a vital player in the legal technology arena, revolutionizing how lawyers connect with world-class experts and access advanced legal technology. Michael's role involves not only steering the company's strategic direction but also ensuring the delivery of unparalleled intelligence and cutting-edge solutions to legal professionals. His work at Expert Institute has been instrumental in enhancing the capabilities of attorneys in case preparation and execution, making a significant impact on the legal industry's approach to expert consultation and technological integration. Michael's vision and execution have positioned the Expert Institute as a key facilitator in the intersection of law and technology.

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