Erosion after laparoscopic ventral mesh rectopexy with a biological mesh
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Today, laparoscopic ventral mesh rectopexy (LVMR) is the most commonly used transabdominal surgical technique for the treatment of full-thickness rectal prolapse. High success rates, as well as low complication rates, explain the rapid spread of this approach which seems to be the ideal approach for rectocele associate with obstructed defecation syndrome, external and internal rectal prolapse, and solitary rectal ulcer.
Recent evidence suggested that mesh-related complications are uncommon for both synthetic and biological meshes; however, mesh-related erosions were found to be more commonly associated with synthetics, with the incidence reported to be 1.87% for synthetic mesh and 0.22%, for biological mesh .
We present a case of erosion that occurred 23 months after LVMR using a biological mesh. Briefly, a 26-year-old female underwent LVMR 7 years after a TRANSTAR performed for external full-thickness rectal prolapse. She presented with a grade V rectal prolapse according...
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Conflict of interest
The authors declare that they have no conflict of interest.
Institutional Review Board (IRB) approval has been obtained from the Ethical Committee of the Policlinico Tor Vergata Hospital in compliance with the Principals Helsinki Declaration in 1964.
All study participants, or their legal guardian, provided informed written consent prior to study enrollment including the possibility of future publication according to the Italian bioethics laws.