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A prospective pilot study on MRI visibility of iron oxide-impregnated polyvinylidene fluoride mesh after ventral

K E Laitakari^1,2, J K Mäkelä-Kaikkonen^3,4, E Pääkkö⁵

¹Division of Gastroenterology, Department of Surgery, University Hospital of Oulu, Oulu, Finland. kirsi.laitakari@fimnet.fi.

Techniques in Coloproctology

|July 5, 2019

Abstract

Background:

Magnetic resonance imaging (MRI) provides excellent information about pelvic anatomy after ventral rectopexy, but the position of the conventional mesh is not seen constantly. Iron oxide-impregnated polyvinylidene fluoride (PVDF) meshes are proven to have MRI visibility in hernia or vaginal reconstructive surgery. This prospective pilot study was designed to assess the visualization, position, and shape of the magnetic resonance (MR)-visible synthetic pelvic mesh used in minimally invasive ventral rectopexy.

Methods:

Eight patients with pelvic organ prolapse were recruited for laparoscopic (LVMR) or robotic-assisted ventral mesh rectopexy (RVMR) with a synthetic MR-visible PVDF mesh. A follow-up visit was scheduled at 3 months after surgery. MR imaging was performed to evaluate the position and dimensions of the mesh and anatomical result. The visibility of the mesh in each sequence was assessed subjectively.

Results:

The visibility of the mesh was best on T1-weighted flash images. The mesh was also well visualized on T2-weighted sagittal images. T2-weighted images, in general, provided best visualization of the surrounding anatomical structures and enabled assessment of the mesh fixation.

Conclusions:

T2 sagittal and T1-weighted flash images provide the best information about the position and integrity of the iron oxide-impregnated PVDF mesh after LVMR or RVMR with a short examination time.

Keywords:

Iron oxide-impregnated polyvinylidene fluoride MR contrasting implant Magnetic resonance imaging (MRI)Mesh Rectal prolapse Ventral rectopexy

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