title: Mesh fistulation into the rectum after laparoscopic ventral mesh rectopexy.
abstract: BACKGROUND
  Laparoscopic ventral mesh rectopexy (LVMR) is an effective method of management of functional disorders of the rectum including symptomatic rectal intussusception, and obstructed defaecation. Despite the technical demands of the procedure and common use of foreign body (mesh), the incidence of mesh related severe complications of the rectum is very low.
  
  
  METHODS
  A 63 year old woman presented with recurrent pelvic sepsis following a mesh rectopexy. Investigations revealed fistulation of the mesh into the rectum. She was treated with an anterior resection.
  
  
  CONCLUSIONS
  The intraoperative findings and management of the complication are described. Risk factors for mesh attrition and fistulation are also discussed.
  
  
  CONCLUSIONS
  Chronic sepsis may lead to 'late' fistulation after mesh rectopexy.
authors.affiliation: Department of Gastrointestinal Surgery, Wye Valley Hospital NHS Trust, Hereford HR1 1BX, United Kingdom. Electronic address: dhoyho9@aol.com.
authors.forename: Dayo
authors.initials: D
authors.lastname: Adeyemo
keywords: LVMR complication; Laparoscopic ventral mesh rectopexy; Mesh complication; Rectal fistula