title: Internal hernia after laparoscopic sacrocervicopexy.
abstract: Whether the peritoneum covering the mesh used in laparoscopic procedures to treat pelvic organ prolapse needs to be sutured is controversial. Herein is reported a case of small bowel obstruction through the mesh, which was sutured at the level of the sacral promontory. The objective of this case report was to emphasize the importance of peritonization, or "burial," of the mesh during these laparoscopic procedures to avert bowel herniation. Furthermore, the need is stressed for a low operative threshold in patients who have undergone such laparoscopic procedures and who demonstrate symptoms of acute abdomen.
authors.affiliation: IRCAD/EITS Strasbourg, Department of Gynecology, Hôpitaux Universitaires, Strasbourg, France. trompoukis@gmail.com
authors.forename: Pantelis
authors.initials: P
authors.lastname: Trompoukis
authors.forename: Joseph
authors.initials: J
authors.lastname: Nassif
authors.forename: Boris
authors.initials: B
authors.lastname: Gabriel
authors.forename: Arnaud
authors.initials: A
authors.lastname: Wattiez
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006547:Hernia / Q000209:etiology*; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery; D013526:Surgical Mesh