[Severe complications of total pelvic floor repair using polypropylene mesh--case report].
The authors present a case of 58 years old woman suffering from complex pelvic floor pathology diagnosed with rectal prolapse, genitary organs prolapse, descending pelvic floor, rectocele and enterocele as well as advanced diverticular disease of the left colon. She suffered from chronic constipation. The surgery consisted of left hemicolectomy, hysterectomy, reconstruction of the pelvic floor and sacrocoloporectopexy using polypropylene mesh. The out-come complicated mesenteric vessels thrombosis, small bowel perforations and intraabdominal abscesses. Despite intensive care and subsequent ileal resections, debridement and drainage of the abscesses the patient died five months after beacause of multi organs insufficiency.
Katedra i Klinika Chirurgii Ogólnej, Chirurgii Onkologii Gastroenterologicznej i Chirurgii Plastycznej, UM w Poznaniu. tomaszkoscinski.proktolog@op.pl
Tomasz
T
Kościński
Katedra i Klinika Chirurgii Ogólnej, Chirurgii Onkologii Gastroenterologicznej i Chirurgii Plastycznej, UM w Poznaniu.
Jacek
J
Szmeja
Katedra i Klinika Chirurgii Ogólnej, Chirurgii Onkologii Gastroenterologicznej i Chirurgii Plastycznej, UM w Poznaniu.
Wiktor
W
Meissner
Katedra i Klinika Chirurgii Ogólnej, Chirurgii Onkologii Gastroenterologicznej i Chirurgii Plastycznej, UM w Poznaniu.
Jacek
J
Hermann
D018784:Abdominal Abscess / Q000209:etiology* / Q000601:surgery; D003082:Colectomy; D003248:Constipation / Q000150:complications; D003646:Debridement; D004238:Diverticulitis / Q000150:complications; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007416:Intestinal Perforation / Q000209:etiology*; D008641:Mesenteric Vascular Occlusion / Q000209:etiology*; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery*; D056887:Pelvic Organ Prolapse / Q000150:complications / Q000601:surgery*; D011126:Polypropylenes; D013526:Surgical Mesh / Q000009:adverse effects*; D013927:Thrombosis / Q000209:etiology
D011126:Polypropylenes