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Rectal mesh exposure after laparoscopic sacrocolpopexy
Philippe Ferry1, Lucie Sedille1, Valérie Roncheau2
1Department of Obstetrics and Gynaecology, La Rochelle Hospital, La Rochelle, France.
Journal of Minimally Invasive Gynecology
|October 1, 2013
Summary
A rare complication of laparoscopic sacrocolpopexy involving mesh erosion into the rectum was successfully treated with endorectal surgery. This case highlights uncommon synthetic mesh exposure risks following pelvic organ prolapse repair.
Area of Science:
- Urology
- Gastroenterology
- Surgical Innovation
Background:
- Laparoscopic sacrocolpopexy is a surgical procedure for pelvic organ prolapse.
- Synthetic mesh is often used to support pelvic organs during this surgery.
- Vaginal mesh erosion is a known complication.
Observation:
- A 68-year-old woman experienced rectal bleeding 13 days post-laparoscopic sacrocolpopexy.
- Rectal examination revealed polyester mesh exposed in the rectum.
- This indicated an unusual complication of the surgical mesh placement.
Findings:
- Endorectal surgery was performed to address the rectal mesh exposure.
- The exposed mesh was removed, and the rectal erosion was repaired.
- The patient experienced no further complications after the intervention.
Implications:
- This case underscores the possibility of uncommon mesh exposure routes, such as rectal erosion.
- It emphasizes the need for vigilance regarding synthetic mesh complications beyond vaginal erosions.
- Surgical teams should consider a broader range of potential mesh-related issues in pelvic reconstructive surgery.
