Rectal mesh erosion after posterior vaginal kit repair

Giovanni Scambia, Giuseppe Campagna, Monia Marturano, Alfredo Ercoli, Mauro Cervigni

Risultato della ricerca: Contributo in rivistaArticolo in rivista

1 Citazioni (Scopus)

Abstract

Introduction and hypothesis: The present video shows a rare case of erosion through the full rectal wall into the rectum after a transperineal implant of a double-arm polypropylene kit. Methods: A 70-year-old woman underwent a transperineal implant of a double-arm polypropylene kit. One year after surgery, she developed bothersome symptoms in the posterior perineum including heaviness, pain and rectal bleeding during defecation. A clinical examination showed the presence of a part of the prothesis traversing the rectal cavity. A minimally invasive transanal approach was performed to remove the mesh and restore the rectal integrity. Results: This surgical technique demonstrates rectal mesh removal with a transanal approach. Conclusions: To our knowledge, this is a rare complication of rectal erosion of a posterior transperineal mesh kit. The aim of this video is to show a complete transanal approach to treating this serious complication avoiding the more invasive and traumatic abdominal procedure.
Lingua originaleEnglish
pagine (da-a)499-500
Numero di pagine2
RivistaINTERNATIONAL UROGYNECOLOGY JOURNAL
Volume30
DOI
Stato di pubblicazionePubblicato - 2019

Keywords

  • Pelvic organ prolapse
  • Rectal mesh erosion
  • Transanal approach
  • Vaginal kit

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