Mesh fixation of the mesentery for treatment of volvulus and recurrent stomal prolapse
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1Department of Surgery, St. Joseph Hospital, Houston, Texas.
Abstract:
Mesenteric mesh-pexy is indicated for permanent and quick-clean fixation of the intestine. It is applicable to the treatment of recurrent stomal prolapse and intestinal volvulus when the intestine is viable, but resection, less definitive treatment or an additional operation would pose increased risks to the patient. Mesenteric mesh-pexy may also be considered prophylactically for floppy cecum and severely redundant loops of sigmoid colon.
Insights
Mesenteric mesh-pexy offers a permanent solution for intestinal fixation, effectively treating conditions like recurrent stomal prolapse and volvulus. This surgical technique provides a safe alternative when other treatments carry higher risks.
Area of Science:
- Surgical techniques
- Gastrointestinal surgery
- Medical devices
Background:
- Recurrent stomal prolapse and intestinal volvulus require effective fixation methods.
- Standard treatments may involve increased risks for certain patient groups.
- Intestinal viability is crucial for considering mesh-pexy.
Purpose of the Study:
- To describe the indications and applications of mesenteric mesh-pexy.
- To highlight its role in managing specific gastrointestinal conditions.
- To present mesh-pexy as a viable surgical option.
Main Methods:
- Mesenteric mesh-pexy involves using mesh for intestinal fixation.
- The procedure is applicable in cases of recurrent stomal prolapse and intestinal volvulus.
- Prophylactic use is considered for floppy cecum and redundant sigmoid colon.
Main Results:
- Mesenteric mesh-pexy provides permanent and quick-clean fixation of the intestine.
- It is a suitable option when resection or other treatments pose increased risks.
- The technique is effective for specific anatomical challenges.
Conclusions:
- Mesenteric mesh-pexy is a valuable surgical intervention for intestinal fixation.
- It offers a safe and definitive treatment for specific prolapse and volvulus cases.
- Prophylactic application may prevent future complications in predisposed individuals.