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Mesh safety in pelvic surgery:Our experience and outcome of biological mesh used in laparoscopic ventral mesh rectopexy

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World Journal of Clinical Cases 2022年第3期10卷 891-898页

作者： Anastasia Tsiaousidou Linda MacDonald kawan shalli Department of Surgery Wishaw University HospitalWishaw ML20DPLanarkshireUnited Kingdom

BACKGROUND Laparoscopic ventral mesh rectopexy(LVMR)continues to be a popular treatment option for rectal prolapse,obstructive defecation/faecal incontinence and *** recent years there have been concerns regarding the safety of mesh placements in the *** To assess the safety of the mesh and the outcome of the *** Eighty-six patients underwent LVMR with Permacol(Biological)mesh from 2012 to 2018 at University Hospital *** were treated for obstructive defecation secondary to prolapse,rectocele or internal rectal intussusception,38 for mixed symptoms obstructive defecation and incontinence,5 for pain and bleeding secondary to full thickness prolapse and 3 with symptoms of *** for the calculation of Wexner scores for constipation and incontinence were completed by the patients who were followed up in the clinic 12 wk after surgery and again in 6-12 *** average review of their notes was 18.3±4.2 *** The median Wexner scores for constipation pre-operatively and post-operatively were 14.5[Interquartile range(IQR):10.5-18.5]and 3(IQR:1-6),respectively,while the median Wexner score for faecal incontinence was 11(IQR:7-15)and 2(IQR:0-5),respectively(P<0.01).There were 4(4.6%)recurrences,2 cases that presented with erosion of a suture through the rectum and one with *** mesh complications or mortalities were *** LVMR using a Permacol mesh is a safe and effective procedure for the treatment of obstructive defecation/faecal incontinence,rectal prolapse,rectoceles and internal rectal prolapse/intussusception.

关键词： Rectopexy Prolapse surgery Biological mesh Pelvic floor disorders Treatment

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