Transperineal Rectocele Repair with Polyglycolic Acid Mesh: A Case Series

Leventoğlu, Sezai; Menteş, B. Bülent; Akın, Murat; Karen, Melike; Karamercan, Ahmet; Oğuz, Mehmet

doi:10.1007/s10350-007-9067-5

Cited by 23 publications

(14 citation statements)

References 37 publications

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“…Review articles (three) were excluded, and other studies were excluded because mesh was placed transvaginally (one), mesh was placed transanally (one) or the paper was not relevant (one). Of the 10 included articles [86,121,133,134,135,136,137,138,139,140], four were retrospective and six were prospective case series. There were no comparative studies.…”

Section: Other Indications For Mesh In Colorectal Surgerymentioning

confidence: 99%

European Society of Coloproctology guidance on the use of mesh in the pelvis in colorectal surgery

et al. 2021

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Section: Other Indications For Mesh In Colorectal Surgerymentioning

confidence: 99%

European Society of Coloproctology guidance on the use of mesh in the pelvis in colorectal surgery

et al. 2021

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“…Since then, several additional groups have retrospectively reported outcomes after anterior interposition procedures using synthetic materials [44–47]. Similarly, synthetic meshes have also been used for repairs of posterior compartment defects [45,48,49].…”

Section: Synthetic Mesh For Pop Repairmentioning

confidence: 99%

Pelvic organ prolapse (POP) surgery: the evidence for the repairs

2011

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What is known on the subject? and What does the study add? Substantial experience of the outcomes has been gathered regarding the acute and sub‐acute experience with various types of corrective procedures for POP. These include long‐term POP correction as well as more recent recognition of improvement in functional disorders associated with POP such as UI, colorectal dysfunction, and sexual dysfunction. Long‐term follow‐up is available for some of the older types of interventions and current multicentre trials are being accrued with longer term follow‐up for new interventions including mesh‐type repairs. The study adds a condensed and summarized version of the current literature regarding the various interventions for POP and also provides an overview of the current controversies and areas where knowledge is incomplete and in need of further elaboration for definitive answers regarding optimization of surgical care for POP. • Our aim is to summarise the available data on the transvaginal placement of synthetic mesh for pelvic organ prolapse (POP) repair, with a focus on the outcomes and complications of commercial POP‐repair kits. • As the stability and durability of autologous tissues may be questionable, nonabsorbable, synthetic materials are an attractive alternative for providing additional support during POP surgery. These materials are not novel, and most have been used for many years in surgical applications, e.g. hernia repairs. • While theoretically appealing, the implantation of synthetic mesh in the pelvis may be associated with inherent adverse consequences, such as erosion, extrusion, and infection. Additionally, the routine use of these materials may carry potential long‐term complications, such as dyspareunia, chronic pelvic pain, and vaginal distortion. • The success and failure of mesh‐augmented POP repair is related not only to the synthetic material itself, but also to patient‐ and surgeon‐related factors. • Recent warnings by the USA Food and Drug Administration and other groups regarding adverse events further complicate the decision to use synthetic mesh.

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“…They were neither randomised nor controlled [11,12]. Synthetic absorbable mesh appears to have a lower mesh erosion rate as exemplified by a series from Turkey of 83 consecutive patients with a published erosion rate of 0% following transperineal rectocoele repair using polyglycolic acid mesh [13].…”

Section: Results: Abdominalmentioning

confidence: 99%

The role of biologics in pelvic floor surgery

et al. 2012

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The advent of laparoscopic surgery and with it Laparoscopic Ventral Mesh Rectopexy (LVMR) has revolutionised the management of internal ⁄ external rectal and vaginal vault prolapse. These procedures have traditionally been performed with synthetic meshes. Biologics have gained a prominent role over the last decade in LVMR as well as perineal procedures for rectocoele and cystocoele repair. We examine the existing literature on the use of biologics in pelvic floor surgery comparing this with literature on synthetic mesh for the key outcomes of infection rates, bowel ⁄ sexual function and recurrence.

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Transperineal Rectocele Repair with Polyglycolic Acid Mesh: A Case Series

Abstract: Transperineal repair of rectocele with the polyglycolic acid mesh is an efficient therapy for patients with rectocele. It is highly successful in eliminating symptoms of obstructed defecation, and it is free of significant complications.

Cited by 23 publications

References 37 publications

European Society of Coloproctology guidance on the use of mesh in the pelvis in colorectal surgery

European Society of Coloproctology guidance on the use of mesh in the pelvis in colorectal surgery

Pelvic organ prolapse (POP) surgery: the evidence for the repairs

The role of biologics in pelvic floor surgery

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