Mesh-associated complications in minimally invasive ventral mesh rectopexy: a systematic review.

IF 2.4 2区医学 Q2 SURGERY

Surgical Endoscopy And Other Interventional Techniques Pub Date : 2024-11-08 DOI:10.1007/s00464-024-11369-7

Gabriel Fridolin Hess, Fabio Nocera, Stephanie Taha-Mehlitz, Sebastian Christen, Marco von Strauss Und Torney, Daniel C Steinemann

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引用次数: 0

Abstract

Background: Ventral mesh rectopexy (laparoscopic and robotic) is a common and well established treatment of rectal prolapse. Although described as safe and effective, complications, especially mesh-associated ones are often mentioned. Additionally, there is no consensus regarding the mesh type and fixation method as well as the materials used for this purpose. The aim of this systematic review was to identify the total amount of complications and of those the mesh-associated ones.

Methods: Pubmed, Web of Science and Cochrane Central Register were screened for complications in general and in detail regarding the mesh(es) and a systematic review was performed.

Results: Following qualitative evaluation, 40 studies were identified for further investigation. Across 6269 patients, complications were found in 9.2% (622 patients). Mesh-related complications were described in 1.4% (88 patients) of which 64.8% were erosions, 11.4% fistulas and 13.6% mesh releases. The complication rate according to the different materials were low with 1% in biological and synthetic meshes and 1.8% in not further described or mixed mesh type. Non-absorbable material to fixate the mesh was most frequently used to fixate the mesh.

Conclusion: Laparoscopic ventral mesh rectopexy is a safe operation with a low-complication rate, regardless of mesh type.

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微创腹腔网片直肠切除术中与网片相关的并发症：系统性综述。

背景：腹侧网片直肠切除术（腹腔镜和机器人）是治疗直肠脱垂的一种常见且行之有效的方法。虽然被描述为安全有效，但并发症，尤其是与网片相关的并发症也经常被提及。此外，关于网片的类型、固定方法以及使用的材料也没有达成共识。本系统性综述旨在确定并发症的总数，以及其中与网片相关的并发症：方法：筛选了 Pubmed、Web of Science 和 Cochrane Central Register 上有关网片的一般并发症和详细并发症，并进行了系统综述：结果：经过定性评估，确定了 40 项研究供进一步调查。在 6269 名患者中，9.2%（622 名患者）发现了并发症。1.4%的患者（88例）出现了网片相关并发症，其中64.8%为糜烂，11.4%为瘘管，13.6%为网片松脱。不同材料的并发症发生率较低，生物网片和合成网片的并发症发生率为1%，未进一步描述的网片或混合网片的并发症发生率为1.8%。固定网片的非吸收性材料最常用于固定网片：结论：腹腔镜腹股沟网片直肠切除术是一种安全的手术，无论网片类型如何，并发症发生率都很低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Endoscopy And Other Interventional Techniques 医学-外科

CiteScore

6.10

自引率

12.90%

发文量

890

审稿时长

6 months

期刊介绍： Uniquely positioned at the interface between various medical and surgical disciplines, Surgical Endoscopy serves as a focal point for the international surgical community to exchange information on practice, theory, and research. Topics covered in the journal include: -Surgical aspects of: Interventional endoscopy, Ultrasound, Other techniques in the fields of gastroenterology, obstetrics, gynecology, and urology, -Gastroenterologic surgery -Thoracic surgery -Traumatic surgery -Orthopedic surgery -Pediatric surgery