It was reported to boston scientific corporation that a polyform device was implanted during a procedure performed on (b)(6) 2009.The patient has a complicated surgical history.The patient then underwent laparoscopic scp with polyform mesh, pr, cystoscopy in 2009, and subsequently a mid-urethral sling (monarc tot) and cystoscopy in 2011.After a hernia repair surgery 2-3 years ago, the patient noted constant vaginal discharge.She underwent laparoscopic excision of infected mesh and sutures on (b)(6)2021.At her 4-month post-op appointment, she said no further vaginal discharge but a recurrence of prolapse symptoms.She was found to have stage ii vaginal prolapse and desired definitive surgical management.On (b)(6) 2022, the patient then underwent laparoscopic sacro colpopexy, cystoscopy, and lysis of adhesion of ovary for the treatment of vaginal vault prolapse after hysterectomy, on exam under anesthesia, stage ii vaginal prolapse, anterior wall predominant.On laparoscopy, filmy bowel adhesions were noted in the posterior cul-de-sac and the vaginal cuff (left > right).These were taken down with a combination of sharp and blunt dissection without difficulty.Surgically absent uterus, bilateral fallopian tubes, and ovaries.Anterior abdominal wall hernia mesh rlq (right lower quadrant) and suprapubic area to the right of the midline.Standard liver edge and stomach.The area of mesh at the sacrum spanned approximately 3-4 cm into the pelvis, which was noted to be near the right ureter.This tail of the previously placed sacro colpopexy mesh (polyform) was used to affix the newly placed sacro colpopexy mesh to the sacrum.On cystoscopy, no tumors, stones, or masses.No injury to the bladder or urethra.Normal ureteral orifices with brisk ureteral jets bilaterally.
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