Thulium laser to endoscopically manage a rectal erosion and intraluminal mesh migration after ventral rectopexy.

Autor: Dioscoridi, Lorenzo, Pugliese, Francesco, Bertoglio, Camillo Leonardo, Mutignani, Massimiliano
Zdroj: BMJ Case Reports; 1/4/2021, p1-3, 3p
Abstrakt: Rectal erosions after ventral rectopexy (VR) is an uncommon but challenging adverse event and can be associated with partial migration of the mesh into the intestinal cavity. Re-do surgery is difficult and often provides colostomy and/or anterior rectal resections. However, no alternative solutions are described in the available literature. An 82-year-old woman presented to our hospital for rectal erosion and intraluminal migration of the mesh placed at a 1-year laparoscopic VR. We performed an innovative totally endoscopic approach, using thulium laser and two endoscopes, that led to a successful removal of the mesh. The described mini-invasive technique can be an effective alternative to surgery in tertiary referral centres. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index