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Mesh erosion after laparoscopic posterior rectopexy: A rare complication
Mittu J Mathew1, Amit K Parmar1, Prasanna K Reddy1
1Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospital, 21 Greams Road, Chennai, Tamil Nadu, India.
Abstract:
Laparoscopic posterior mesh rectopexy (LPMR) is now an accepted surgical treatment for complete rectal prolapse. It is associated with complications such as partial mucosal prolapse, fecal impaction, constipation, and rarely recurrence. Erosion of the mesh into the rectum after LPMR is very rare. We report herein the case of 40-year-old man who presented with mesh erosion into the rectum and managed successfully by the laparoscopic excision of mesh. This is probably the first such case managed by the laparoscopic approach.
Insights
Laparoscopic posterior mesh rectopexy (LPMR) for rectal prolapse can rarely cause mesh erosion. This case report details successful laparoscopic excision of eroded mesh, a novel approach for this rare complication.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Complications
Background:
- Laparoscopic posterior mesh rectopexy (LPMR) is a standard surgical procedure for complete rectal prolapse.
- While generally safe, LPMR can lead to complications including mucosal prolapse, constipation, and recurrence.
- Mesh erosion into the rectum is an exceptionally rare complication of LPMR.
Observation:
- A 40-year-old male patient presented with symptoms indicative of mesh erosion into the rectum following LPMR.
- The eroded mesh was identified as the cause of the patient's symptoms.
Findings:
- The patient underwent a laparoscopic procedure for the excision of the eroded mesh.
- Successful removal of the mesh was achieved using a laparoscopic approach.
Implications:
- This case highlights a rare but significant complication of LPMR.
- Laparoscopic mesh excision represents a potentially effective and minimally invasive treatment for rectal mesh erosion.
- This approach may offer a new management strategy for similar rare surgical complications.
