Occurrence of postoperative hematomas after prolapse repair using a mesh augmentation system

BACKGROUND: Mesh-augmented repair kits are increasingly being used for anterior compartment defect repair and can be associated with complications. CASES: Two cases are presented of postoperative pelvic hematomas confirmed on computerized tomography scan after anterior repair with a mesh-augmented anterior vaginal prolapse repair system. Both resolved without requiring drainage, although one patient did require a blood transfusion, and the other required intravenous antibiotics to treat an infected hematoma. CONCLUSION: Significant complications may arise from this new technology. Further studies are needed to determine whether the benefits of this technology outweigh its risk of use.