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[Late rejection of Mersylene mesh used for promontory fixation with colonic obstruction]

E Van Glabeke1, P Chasserant, L Yonneau

  • 1Service d'urologie, Groupe Hospitalier Piti7e-Salpêtrière, Paris.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|December 19, 2000
PubMed

Insights

A Mersylene mesh used for genito-urinary prolapse surgery caused a rare colonic obstruction in a woman 3.5 years post-operation. This case highlights exceptional digestive complications from late mesh rejection.

Area of Science:

  • Gastroenterology
  • Urogynecology
  • Surgical Innovation

Background:

  • Pelvic organ prolapse (POP) is a common condition affecting women's quality of life.
  • Surgical repair often involves synthetic mesh prostheses for anatomical support.
  • Mersylene mesh is utilized for promontory fixation in certain POP procedures.

Observation:

  • A 48-year-old woman presented with symptoms of colonic obstruction.
  • The obstruction occurred 3.5 years after undergoing surgery for genito-urinary prolapse.
  • Investigation revealed Mersylene mesh as the causative agent.

Findings:

  • The Mersylene mesh, intended for pelvic support, led to a severe digestive complication.
  • This complication manifested as a late-onset colonic obstruction.
  • While late mesh rejection is known, its occurrence as a digestive issue is highly unusual.

Implications:

  • This case underscores the potential for rare but serious gastrointestinal complications following POP surgery with mesh.
  • It suggests a need for increased vigilance regarding long-term mesh integrity and potential adverse tissue reactions.
  • Further research into alternative materials or surgical techniques may be warranted to minimize such exceptional digestive complications.

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