title: Rectal obstruction after a vaginal posterior compartment polypropylene mesh fixed to the sacrospinous ligaments.
abstract: We present a case in which a polypropylene mesh was placed over the posterior vaginal wall and was fixed to the sacrospinous ligaments on both sides. Postoperative a rectal obstruction developed which was only resolved after splitting the entire mesh in the midline. It is hypothesised that the obstruction was due to the fixation of the mesh with irresolvable suture material to the sacrospinous ligaments acting as a hinge on which the bowel folded.
authors.affiliation: Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands. M.Vierhout@obgyn.umcn.nl
authors.forename: Mark E
authors.initials: ME
authors.lastname: Vierhout
authors.forename: Mariella I J
authors.initials: MI
authors.lastname: Withagen
authors.forename: Jurgen J
authors.initials: JJ
authors.lastname: Fütterer
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D012002:Rectal Diseases / Q000209:etiology*; D020047:Rectocele / Q000601:surgery*; D012086:Reoperation; D013526:Surgical Mesh / Q000009:adverse effects*