PFD Week 2016-Unusual Complication Following Posterior Synthetic Vaginal Mesh Placement

Unusual Complication Following Posterior Synthetic Vaginal Mesh Placement

Video Transcription

Video Summary

The video is a case report of a rectal mesh injury that occurred during the placement of a mesh for pelvic organ prolapse repair. The patient experienced severe pain, limited mobility, pelvic pain, and other complications after the surgery. Examination revealed mesh protruding into the rectal lumen, and MRI showed inflammation and a possible rectovaginal fistula. The patient underwent surgical removal of the mesh, repair of the rectal injury, and placement of a diverting ileostomy. After six weeks, the patient showed improvement in symptoms and no recurrence of vaginal prolapse. Inadequate medial retraction of the rectum during mesh placement was believed to be the cause of the injury.

Asset Subtitle

Patrick Lang, MD

Meta Tag

Category Surgery - Vaginal Procedures

Category Complications

Category Fecal Incontinence

Category Pelvic Organ Prolapse

Keywords

rectal mesh injury

pelvic organ prolapse repair

severe pain

rectal lumen

rectovaginal fistula