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Updated: Mar 31, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Reconstructive laparoscopic prolapse surgery to avoid mesh erosions.

Rajesh Devassy1, Cristina Cezar2, Meiting Xie2

  • 1GEM-Clinic, Kochi, India.

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
|October 28, 2015
PubMed
Summary

Laparoscopic surgery for pelvic organ prolapse using mesh is safe and effective. This approach for cystocele and rectocele repair avoids mesh erosion complications common in vaginal mesh procedures.

Keywords:
mesh surgeryminimally invasive accessreconstructive prolapse repair

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Area of Science:

  • Urogynecology
  • Minimally Invasive Surgery

Background:

  • Pelvic organ prolapse (POP) affects many women, with cystocele and rectocele being common types.
  • Vaginal mesh surgery for POP carries risks, including graft material erosion.
  • Laparoscopic techniques offer a potential alternative to mitigate these risks.

Purpose of the Study:

  • To evaluate the efficacy and safety of purely laparoscopic reconstructive surgery for cystocele and rectocele repair using mesh.
  • To assess the potential of this laparoscopic approach to avoid mesh erosion complications.

Main Methods:

  • A prospective, non-randomized study of 325 patients undergoing purely laparoscopic POP repair with mesh.
  • Procedures utilized polypropylene or polyurethane mesh.
  • Patient data collected from January 2004 to December 2012 in India.

Main Results:

  • Mean follow-up was 3.4 years; no mesh erosions were reported.
  • Low complication rates: one case of urinary retention and bladder injury requiring intervention.
  • Four recurrences of rectocele managed with posterior vaginal colporrhaphy.

Conclusions:

  • Purely laparoscopic reconstructive management of cystocele and rectocele with mesh is a safe and effective procedure.
  • This surgical approach appears to successfully avoid mesh erosion complications.
  • Laparoscopic POP repair offers a promising alternative for patients seeking to mitigate mesh-related risks.