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

Andrea Balla; Silvia Quaresima; Sebastian Smolarek; Mostafa Shalaby; Giulia Missori; Pierpaolo Sileri

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자료유형: 학술저널

저자정보: Andrea Balla (Sapienza University) Silvia Quaresima (Tor Vergata University) Sebastian Smolarek (Abertawe Bro Morgannwg University) Mostafa Shalaby (Tor Vergata University) Giulia Missori (Tor Vergata University) Pierpaolo Sileri (Tor Vergata University)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.33 No.2

발행연도: 2017.1

수록면: 46 - 51 (6page)

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연구주제

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연구배경

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Purpose: 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. Methods: 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. Results: 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. Conclusion: 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; however, large, multicenter, randomized, control trials with long follow-ups are required if a definitive answer is to be obtained.

참고문헌 (27)

참고문헌 신청

Jones OM / 2011 / The assessment and management of rectal prolapse, rectal intussusception, rectocoele, and enterocoele in adults / BMJ 342:c7099

Smart NJ / 2013 / Synthetic or biological mesh use in laparoscopic ventral mesh rectopexy--a systematic review / Colorectal Dis 15:650~654

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Samaranayake CB / 2010 / Systematic review on ventral rectopexy for rectal prolapse and intussusception / Colorectal Dis 12:504~512

Tou S / 2008 / Surgery for complete rectal prolapse in adults / Cochrane Database Syst Rev 4:CD001758

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