OBJECTIVE: Ventral rectopexy is a validated treatment for rectal prolapse with a low morbidity rate but a risk of intrarectal mesh migration. The purpose of this study was to report the results of local transanal mesh excision for intrarectal mesh migration after ventral rectopexy. METHODS: Between January 2004 and March 2011, 312 patients underwent laparoscopic ventral rectopexy in two hospitals. Six patients were treated for intrarectal mesh migration. RESULTS: Delay between ventral rectopexy and the onset of symptoms was 53 months (4-124 months). All patients have symptoms. Imaging revealed a pelvic abscess in two cases. Intrarectal mesh migration was confirmed by anorectoscopy or clinical examination. Five patients were only treated by local transanal partial mesh excision, and one required a colostomy. Morbidity and mortality were zero. The median hospitalization time was 5 days (3-8 days). After a median postoperative follow-up period of 9 months (1-40 months), one recurrence was observed 2 months after surgery. CONCLUSION: Local transanal mesh excision for intrarectal mesh migration after laparoscopic ventral rectopexy is a feasible conservative treatment. This simple treatment produced a cure of the pelvic inflammation and closure of the fistula without compromising a more aggressive secondary treatment which was not necessary in our series.
OBJECTIVE: Ventral rectopexy is a validated treatment for rectal prolapse with a low morbidity rate but a risk of intrarectal mesh migration. The purpose of this study was to report the results of local transanal mesh excision for intrarectal mesh migration after ventral rectopexy. METHODS: Between January 2004 and March 2011, 312 patients underwent laparoscopic ventral rectopexy in two hospitals. Six patients were treated for intrarectal mesh migration. RESULTS: Delay between ventral rectopexy and the onset of symptoms was 53 months (4-124 months). All patients have symptoms. Imaging revealed a pelvic abscess in two cases. Intrarectal mesh migration was confirmed by anorectoscopy or clinical examination. Five patients were only treated by local transanal partial mesh excision, and one required a colostomy. Morbidity and mortality were zero. The median hospitalization time was 5 days (3-8 days). After a median postoperative follow-up period of 9 months (1-40 months), one recurrence was observed 2 months after surgery. CONCLUSION: Local transanal mesh excision for intrarectal mesh migration after laparoscopic ventral rectopexy is a feasible conservative treatment. This simple treatment produced a cure of the pelvic inflammation and closure of the fistula without compromising a more aggressive secondary treatment which was not necessary in our series.
Authors: Mehdi Ouaïssi; Silvia Cresti; Urs Giger; Igor Sielezneff; Nicolas Pirrò; Bruno Berthet; Philippe Grandval; Bernard Consentino; Bernard Sastre Journal: World J Gastroenterol Date: 2010-06-28 Impact factor: 5.742
Authors: Pilar Hernández; Eduardo M Targarona; Carmen Balagué; Carmen Martínez; José Luis Pallares; Jordi Garriga; Manuel Trias Journal: Cir Esp Date: 2008-12 Impact factor: 1.653
Authors: Jan J van Iersel; Tim J C Paulides; Paul M Verheijen; John W Lumley; Ivo A M J Broeders; Esther C J Consten Journal: World J Gastroenterol Date: 2016-06-07 Impact factor: 5.742
Authors: Aradhana Mehta; Rami Afshar; David L Warner; Amy Gardner; Ellen Ackerman; Jared Brandt; Kent C Sasse Journal: JSLS Date: 2017 Jan-Mar Impact factor: 2.172