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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.
Journal of Minimal Access Surgery
|February 7, 2014
Summary
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.
