Synthetic Versus Biological Mesh-Related Erosion After Laparoscopic Ventral Mesh Rectopexy: A Systematic Review

Annals of Coloproctology
Andrea BallaP Sileri

Abstract

This review reports the incidence of mesh-related erosion after ventral mesh rectopexy to determine whether any difference exists in the erosion rate between synthetic and biological mesh. A systematic search of the MEDLINE and the Ovid databases was conducted to identify suitable articles published between 2004 and 2015. The search strategy capture terms were laparoscopic ventral mesh rectopexy, laparoscopic anterior rectopexy, robotic ventral rectopexy, and robotic anterior rectopexy. Eight studies (3,956 patients) were included in this review. Of those patients, 3,517 patients underwent laparoscopic ventral rectopexy (LVR) using synthetic mesh and 439 using biological mesh. Sixty-six erosions were observed with synthetic mesh (26 rectal, 32 vaginal, 8 recto-vaginal fistulae) and one (perineal erosion) with biological mesh. The synthetic and the biological mesh-related erosion rates were 1.87% and 0.22%, respectively. The time between rectopexy and diagnosis of mesh erosion ranged from 1.7 to 124 months. No mesh-related mortalities were reported. The incidence of mesh-related erosion after LVR is low and is more common after the placement of synthetic mesh. The use of biological mesh for LVR seems to be a safer option; howeve...Continue Reading

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Citations

Feb 15, 2018·International Journal of Colorectal Disease·M BrunnerK E Matzel
Dec 22, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R McLeanM Mercer-Jones
Oct 9, 2018·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·W OmarM Shalaby
Sep 17, 2019·Postgraduate Medicine·Angela LeeBrooke Gurland
May 20, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Mahdi AlemrajabiMohammad Moradi
Jul 13, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K RatnatungaC Cunningham
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Sep 12, 2019·International Journal of Colorectal Disease·M BrunnerKlaus E Matzel
Sep 20, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M A Mercer-JonesA B Williams
Feb 5, 2021·Clinics in Colon and Rectal Surgery·Kenneth C Loh, Konstantin Umanskiy
Aug 28, 2021·Asian Journal of Endoscopic Surgery·Yvonne Ying-Ru NgCherylin Wan Pei Fu

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