Internal Herniation and Small Bowel Strangulation Following Sacrocervicopexy With Mesh: A Case Report and Review of...

This case report presents evidence supporting further investigation into the surgical steps and complications of sacrocervicopexy (SCerP). The patient is a 72-year-old woman who presented to the emergency department (ED) with sudden-onset severe abdominal pain, 15 months after undergoing SCerP for vaginal prolapse. She was taken to the operating room for the reduction of a retroperitoneal herniation and subsequently required small bowel resection due to ischemic bowel. There is a scarcity of documented cases of retroperitoneal herniation following SCerP, resulting in a lack of established guidelines for management of the retroperitoneal defect created during the index operation. Retroperitoneal herniation after SCerP is rarely reported, and the role of retroperitoneal closure following SCerP remains unclear. Further research is needed to assess outcomes following SCerP without retroperitoneal closure.