Rectal Mesh Erosion After Sacrocolpopexy A Case Report And Literature Review

Objective: Mesh-related complications could be seen in many repair procedures,including pelvic organ prolapse(POP)and hernia repairs.A recent large cohort study provided that mesh related complications after laparoscopic sacrocolpopexy(LSC)was about 0.7%.Among them,vaginal mesh exposure or erosion was relatively common,however,rectal erosion or other non-vaginal exposures appeared to be rare.This article describes a case of rectal mesh erosion in our hospital after LSC,and summarizes the characteristics and possible causes of intestinal mesh erosion after sacrocolpopexy,combined with the previous literature.So as to provide some suggestions for future surgeries.Method:Analysis 1 case of mesh rectal erosion after LSC in our hospital retrospectively,combined with the previous 9 literatures.And analysis the difference in ages,symptoms,surgeries,the time and locations of mesh erosion,mesh types,possible causes and various treatments.Result:The age span of patients was wide.the time of erosion was much different.LSC and patients undergoing hysterectomy previously had the highest proportion of erosion(5/10 and 4/10 respectively).Polypropylene was the most common type(4 / 10).Rectum was the most vulnerable site(7/10),and hematochezia was the most common symptom(5/10).The most popular procedure was to remove the mesh by laparoscopy(4/10).Finally,the most common operation was bowel resection(7/10)and enterostomy(6/10).Conclusion:Sacrocolpopexy is the standard procedure for treating apical defects.Before the surgery,patients need to fully understand all risks.In order to avoid those complications,a series of preoperative,intraoperative and postoperative measures could be taken.Besides surgeons also should be alert during the follow-up,so as to detect and treat early.