Polyvinylidene Fluoride Mesh Use in Laparoscopic Ventral Mesh Rectopexy in Patients with Obstructive Defecation Syndrome for the First Time

Obstructive defecation syndrome (ODS) affects quality of life of patients to a great extent by disturbing defecation. Laparoscopic ventral mesh rectopexy (LVMR) has gained much attention in the recent years. Common synthetic used meshes have a risk of erosion for adjacent pelvic organs leading to so...

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Bibliographic Details
Published in:Journal of investigative surgery 2021-10, Vol.34 (10), p.1083-1088
Main Authors: Alemrajabi, Mahdi, Darabi, Behnam, Banivaheb, Behrouz, Hemmati, Nima, Jahanian, Sepideh, Moradi, Mohammad
Format: Article
Language:English
Subjects:
Adult
constipation
constipation scoring system
Defecation
Female
Humans
Laparoscopic ventral mesh rectopexy
Laparoscopy - adverse effects
Male
Middle Aged
obstructive defecation syndrome
polyvinylidene fluoride mesh
Polyvinyls
Quality of Life
Surgical Mesh - adverse effects
Treatment Outcome
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Summary:Obstructive defecation syndrome (ODS) affects quality of life of patients to a great extent by disturbing defecation. Laparoscopic ventral mesh rectopexy (LVMR) has gained much attention in the recent years. Common synthetic used meshes have a risk of erosion for adjacent pelvic organs leading to some complications. The aim of this study was to assess the outcomes of LVMR using polyvinylidene fluoride (PVDF) mesh in patients with ODS for the first time. Methods and Materials: In this experimental study, patients with a history of ODS and associated signs and symptoms such as descending perineum, rectocele, enterocele, intussusception, rectal prolapse or a combined disorder were recruited. The patients underwent LVMR using a PVDF mesh. They were followed using the Constipation Scoring System (CSS) score. Participants were followed up for 12 months after surgery. Complications and CSS for each patient and its changes were the main outcomes of this study. Of 156 patients, 155 had a 12-month complete follow-up. Thirty-nine (25.2%) were male and 116 (74.8%) female. Mean ± SD age of participants was 45.61 ± 14.02 years. The overall complication rate was 3.87%. No major mesh-related complications were recorded. Four cases (2.58%) of trocar site hernia were reported. Also, two cases (1.29%) of postoperative bleeding occurred. CSS before the operation and 1, 3, and 12 months after it were 11.04 ± 5.93, 7.98 ± 4.85, 5.46 ± 3.70 and 4.09 ± 2.98, respectively (p 
ISSN:0894-1939
1521-0553
DOI:10.1080/08941939.2020.1767734