Ferry Philippe, Sedille Lucie, Roncheau Valérie
Department of Obstetrics and Gynaecology, La Rochelle Hospital, La Rochelle, France.
Department of Obstetrics and Gynaecology, La Rochelle Hospital, La Rochelle, France.
J Minim Invasive Gynecol. 2014 Mar-Apr;21(2):311-3. doi: 10.1016/j.jmig.2013.09.005. Epub 2013 Sep 26.
Herein we report the case of a 68-year-old woman who had rectal bleeding 13 days after laparoscopic sacrocolpopexy. Clinical examination and rectoscopy revealed rectal exposure of the posterior polyester mesh placed during the surgery. Endorectal surgery was performed to remove the exposed mesh and repair the rectal erosion. No further complications occurred during follow-up. Although vaginal erosions are a well-known complication of synthetic implants after surgery to repair pelvic organ prolapse, one must keep in mind the possibility of more uncommon types of mesh exposure.
在此,我们报告一例68岁女性患者,其在腹腔镜骶骨阴道固定术后13天出现直肠出血。临床检查和直肠镜检查发现手术中放置的后部聚酯网片暴露于直肠。遂行直肠内手术以移除暴露的网片并修复直肠糜烂。随访期间未发生进一步并发症。虽然阴道糜烂是盆腔器官脱垂修复手术后合成植入物的一种常见并发症,但必须牢记更罕见类型的网片暴露的可能性。