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[Problems of pelvic infection following rectopexy using synthetics and its treatment]
Abstract:
The complication of the infected Ivalon-sponge after rectopexy is described in five patients. In two patients the pelvic sepsis perforated spontaneously into the vagina and in another two patients the pelvic abscess perforated through the levator muscles into the ischio-rectal fossa formating a typical horse-shoe abscess in one case. The management of choice in cases of pelvic sepsis is the complete removal of the infected Ivalon-sponge. We personally prefer the laparotomy for the complete removal of the prosthesis and not the removal through the vagina or through the rectum.
Insights
Infected Ivalon-sponge complications after rectopexy can lead to pelvic sepsis. Complete surgical removal of the Ivalon-sponge, preferably via laparotomy, is the recommended management.
Area of Science:
- Surgical complications
- Medical device-related infections
Background:
- Rectopexy is a surgical procedure to correct rectal prolapse.
- Ivalon-sponge has been used as a material in surgical procedures.
Observation:
- Five patients experienced infected Ivalon-sponge complications post-rectopexy.
- Complications included pelvic sepsis with spontaneous vaginal perforation in two patients.
- Pelvic abscesses perforated into the ischio-rectal fossa in two patients, forming horseshoe abscesses.
Findings:
- Infected Ivalon-sponge necessitates complete prosthesis removal.
- Laparotomy is the preferred surgical approach for complete Ivalon-sponge removal.
- Vaginal or rectal removal is not recommended.
Implications:
- Prompt and complete Ivalon-sponge removal is crucial for managing pelvic sepsis.
- Surgical technique choice impacts complication management and patient outcomes.
- This highlights potential risks associated with Ivalon-sponge use in rectopexy.