Polyvinylidene Fluoride Mesh Use in Laparoscopic Ventral Mesh Rectopexy in Patients with Obstructive Defecation Syndrome for the First Time
Background 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 le...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-09-01
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| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08941939.2020.1767734 |
| _version_ | 1827817329666293760 |
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| author | Mahdi Alemrajabi Behnam Darabi Behrouz Banivaheb Nima Hemmati Sepideh Jahanian Mohammad Moradi |
| author_facet | Mahdi Alemrajabi Behnam Darabi Behrouz Banivaheb Nima Hemmati Sepideh Jahanian Mohammad Moradi |
| author_sort | Mahdi Alemrajabi |
| collection | DOAJ |
| description | Background 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. Results 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 < 0.001). Conclusion Synthetic meshes might cause severe erosion in pelvic organs. However, at least in short-term follow-up, PVDF mesh seems to be safe and effective in LVMR, with the advantage of being cheaper. |
| first_indexed | 2024-03-12T00:32:47Z |
| format | Article |
| id | doaj.art-06b18890c9504e55ad160a9acc49e9b5 |
| institution | Directory Open Access Journal |
| issn | 0894-1939 1521-0553 |
| language | English |
| last_indexed | 2024-03-12T00:32:47Z |
| publishDate | 2021-09-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj.art-06b18890c9504e55ad160a9acc49e9b52023-09-15T10:07:33ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532021-09-0134101083108810.1080/08941939.2020.17677341767734Polyvinylidene Fluoride Mesh Use in Laparoscopic Ventral Mesh Rectopexy in Patients with Obstructive Defecation Syndrome for the First TimeMahdi Alemrajabi0Behnam Darabi1Behrouz Banivaheb2Nima Hemmati3Sepideh Jahanian4Mohammad Moradi5Department of Surgery, Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences (IUMS)Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences (IUMS)Department of Surgery, Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences (IUMS)Department of Surgery, Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences (IUMS)Department of Surgery, Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences (IUMS)Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences (IUMS)Background 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. Results 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 < 0.001). Conclusion Synthetic meshes might cause severe erosion in pelvic organs. However, at least in short-term follow-up, PVDF mesh seems to be safe and effective in LVMR, with the advantage of being cheaper.http://dx.doi.org/10.1080/08941939.2020.1767734laparoscopic ventral mesh rectopexypolyvinylidene fluoride meshobstructive defecation syndromeconstipation scoring systemconstipation |
| spellingShingle | Mahdi Alemrajabi Behnam Darabi Behrouz Banivaheb Nima Hemmati Sepideh Jahanian Mohammad Moradi Polyvinylidene Fluoride Mesh Use in Laparoscopic Ventral Mesh Rectopexy in Patients with Obstructive Defecation Syndrome for the First Time Journal of Investigative Surgery laparoscopic ventral mesh rectopexy polyvinylidene fluoride mesh obstructive defecation syndrome constipation scoring system constipation |
| title | Polyvinylidene Fluoride Mesh Use in Laparoscopic Ventral Mesh Rectopexy in Patients with Obstructive Defecation Syndrome for the First Time |
| title_full | Polyvinylidene Fluoride Mesh Use in Laparoscopic Ventral Mesh Rectopexy in Patients with Obstructive Defecation Syndrome for the First Time |
| title_fullStr | Polyvinylidene Fluoride Mesh Use in Laparoscopic Ventral Mesh Rectopexy in Patients with Obstructive Defecation Syndrome for the First Time |
| title_full_unstemmed | Polyvinylidene Fluoride Mesh Use in Laparoscopic Ventral Mesh Rectopexy in Patients with Obstructive Defecation Syndrome for the First Time |
| title_short | Polyvinylidene Fluoride Mesh Use in Laparoscopic Ventral Mesh Rectopexy in Patients with Obstructive Defecation Syndrome for the First Time |
| title_sort | polyvinylidene fluoride mesh use in laparoscopic ventral mesh rectopexy in patients with obstructive defecation syndrome for the first time |
| topic | laparoscopic ventral mesh rectopexy polyvinylidene fluoride mesh obstructive defecation syndrome constipation scoring system constipation |
| url | http://dx.doi.org/10.1080/08941939.2020.1767734 |
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