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Updated: Aug 21, 2026
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Clinical and histological safety assessment of rectocele repair using collagen mesh
Daniel Altman1, Anders Mellgren, Bo Blomgren
1Division of Obstetrics and Gynecology, Pelvic Floor Center Danderyd Hospital, Stockholm, Sweden. daniel.altman@kvk.ds.sll.se
Aim:
To clinically and histologically evaluate inflammatory response following rectocele repair using porcine collagen mesh.
Methods:
Seventeen patients underwent rectocele repair using porcine collagen mesh. Inflammatory response was assessed by clinical and histological inflammatory grading pre- and postoperatively. Postoperative body temperature, complications and hospital stay was compared with 15 patients undergoing posterior colporraphy.
Results:
Postoperative clinical examination did not demonstrate any inflammatory reaction. There were no significant changes in fibroblast count (P = 0.43), connective tissue density grading (P = 0.54), macrophage count (P = 0.20), inflammatory cell count (P = 0.48), total cell count (P = 0.51), or inflammatory grading (P = 0.87) postoperatively compared with preoperative values. Body temperature was significantly elevated for both the study and control group, although higher for the study group, postoperatively day 1 (P < 0.001). There were no significant differences in hospital stay and postoperative complications.
Conclusion:
Porcine collagen mesh was not associated with an adverse inflammatory response at clinical or histological evaluation and appears to be a safe material when used for rectocele repair.
