Resection of infected sacrohysteropexy mesh

Brought to you by the Society of Gynecologic Surgeons. In this video, the authors describe a 64-year-old woman with sacrohysteropexy who presented with symptoms of chest pain, lower abdominal pain, and dysuria. Magnetic resonance imaging showed 2 persistent fluid collections associated with a foreign body. The patient underwent robot-assisted laparoscopic mesh resection and washout. Careful dissection and mobilization of the mesh continued cephalad until the entirety of the proximal portion of the mesh was resected. Postoperatively, the patient had resolution of symptoms. Robotic resection of intra-abdominal mesh after sacrohysteropexy can be feasible by surgeons who are robotically trained and appropriate for patients who have complications from chronic mesh infection.