Abstract
Various surgical techniques have been described for repair of rectal prolapse; however, there is no agreement on a standard treatment method. In the Ripstein procedure, the rectum is fixed to the sacrum with a piece of mesh material. We describe the case of a patient who had undergone a Ripstein procedure to address rectal prolapse 6 years before admission to our clinic. His complaints were anal discomfort, abdominal discomfort, and tenesmus of 2 years duration. Rectoscopy and abdominal computed tomography (CT) revealed that the mesh had penetrated the rectal wall and was located within the rectal lumen 7–8 cm from the anal verge. Once the mesh was endoscopically, and the patient’s symptoms resolved completely. Various complications of mesh implantation for rectal prolapse repair have been documented, but rectal wall penetration has not been reported to date. This report presents our case of this unusual complication and reviews the relevant literature.
Abbreviations
- CT:
-
Computed tomography
- IV:
-
Intravenous
References
Schiedeck TH, Schwandner O, Scheele J, Farke S, Bruch HP (2005) Rectal prolapse: which surgical option is appropriate? Langenbecks Arch Surg (in press)
Bruch HP, Schwandner O (2001) Chirurgische therapie des rektumprolaps: welche operation ist die beste? Chir Gastroenterol 17:215–223
Delorme E (1985) On the treatment of total prolapse of the rectum by excision of the rectal mucous membranes or rectocolic. Dis Colon Rectum 28:544–553
Altemeier WA, Culbertson WR, Schowengerdt C, Hunt J (1971) Nineteen years experience with the one stage perineal repair of rectal prolapse. Ann Surg 173:993–1006
Oliver GC, Vachon D, Eisenstat TE, Rubin RJ, Salvati EP (1994) Delorme’s procedure for complete rectal prolapse in severely debilitated patients. Dis Colon Rectum 37:461–465
Kling KM, Rongione AJ, Evans B, McFadden DW (1996) The Delorme procedure: a useful operation for complicated rectal prolapse in the elderly. Am Surg 62:857–860
Pescatori M, Interisano A, Stolfi VM, Zoffoli M (1998) Delorme’s operation and sphincteroplasty for rectal prolapse and fecal incontinence. Int J Colorectal Dis 13:223–227
Watkins BP, Landercasper J, Bezler GE, Rechner P, Knudson R, Bintz M, Lambert P (2003) Long-term follow-up of the modified Delorme procedure for rectal prolapse. Arch Surg 138:498–502
Ripstein CB (1965) Surgical care of massive rectal prolapse. Dis Colon Rectum 25:34–38
Romero-Torres R (1979) Sacrofixation with marlex mesh in massive prolapse of the rectum. Surg Gynecol Obstet 149:709–711
Bomar RL, Sawyers JL (1977) Transabdominal proctopexy (Ripstein procedure) for massive rectal prolapse. Am Surg 43:97–100
McMahan JD, Ripstein CB (1987) Rectal prolapse. An update on the rectal sling procedure. Am Surg 53:37–40
Hart SR, Weiser EB (2004) Abdominal sacral colpopexy mesh erosion resulting in a sinus tract formation and sacral abscess. Obstet Gynecol 103:1037–1040
Lauwers P, Bracke B, Hubens G, Vaneerdeweg W (2003) Unusual complications of preperitoneal mesh implantation in the treatment of inguinal hernia. Acta Chir Belg 103:513–516
Bodenbach M, Bschleipfer T, Stoschek M, Beckert R, Sparwasser C (2002) Intravesical migration of a polypropylene mesh implant 3 years after laparoscopic transperitoneal hernioplasty. Urologe A 41:366–368
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Karagulle, E., Yildirim, E., Turk, E. et al. Mesh invasion of the rectum: an unusual late complication of rectal prolapse repair. Int J Colorectal Dis 21, 724–727 (2006). https://doi.org/10.1007/s00384-005-0080-7
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DOI: https://doi.org/10.1007/s00384-005-0080-7