Rectal mesh erosion after posterior vaginal kit repair
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Introduction and hypothesis
The present video shows a rare case of erosion through the full rectal wall into the rectum after a transperineal implant of a double-arm polypropylene kit.
A 70-year-old woman underwent a transperineal implant of a double-arm polypropylene kit. One year after surgery, she developed bothersome symptoms in the posterior perineum including heaviness, pain and rectal bleeding during defecation. A clinical examination showed the presence of a part of the prothesis traversing the rectal cavity. A minimally invasive transanal approach was performed to remove the mesh and restore the rectal integrity.
This surgical technique demonstrates rectal mesh removal with a transanal approach.
To our knowledge, this is a rare complication of rectal erosion of a posterior transperineal mesh kit. The aim of this video is to show a complete transanal approach to treating this serious complication avoiding the more invasive and traumatic abdominal procedure.
KeywordsRectal mesh erosion Pelvic organ prolapse Vaginal kit Transanal approach
Compliance with ethical standards
Conflicts of interest
(MP4 91,880 kb)
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