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Rectal mesh erosion after posterior vaginal kit repair

  • Giuseppe Campagna
  • Giovanni Panico
  • Daniela Caramazza
  • Monia Marturano
  • Alfredo Ercoli
  • Giovanni Scambia
  • Mauro Cervigni
IUJ Video
  • 16 Downloads

Abstract

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.

Methods

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.

Results

This surgical technique demonstrates rectal mesh removal with a transanal approach.

Conclusions

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.

Keywords

Rectal mesh erosion Pelvic organ prolapse Vaginal kit Transanal approach 

Notes

Compliance with ethical standards

Conflicts of interest

None.

Supplementary material

ESM 1

(MP4 91,880 kb)

References

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Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  1. 1.Department of Woman and Child Health, Woman Health AreaIRCCS - Fondazione Policlinico Universitario A. Gemelli, Università Cattolica del Sacro CuoreRomeItaly
  2. 2.Department of Obstetrics and GynecologyUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro”, Maggiore HospitalNovaraItaly

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