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Case Reports
. 2013 Sep;95(6):e95-6.
doi: 10.1308/003588413X13629960047353.

Total mesorectal excision for cancer following ventral mesh rectopexy

S S Antonowicz  1 , M Al-Whouhayb, S Middleton
Affiliations
Case Reports

Total mesorectal excision for cancer following ventral mesh rectopexy

S S Antonowicz et al. Ann R Coll Surg Engl. 2013 Sep.

Abstract

Since the introduction of ventral mesh rectopexy for rectal prolapse, concern exists as to how this may interfere with subsequent rectal cancer surgery. To our knowledge, this is the first report of total mesorectal excision for cancer after such a rectopexy. We discuss surgical technique, pitfalls encountered and oncological outcome.

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Figures

Figure 1
Figure 1
Top left (computed tomography) and bottom left (magnetic resonance imaging, T2 weighted sequence): Midline sagittal section showing ventral rectopexy mesh attached to the sacral and rectovaginal fascia (white arrows), with a small tumour arising in the midrectum (black arrow). Right: Total mesorectal excision specimen with attached mesh. Towards the top of the specimen, the mesh diverts away from the midline as it attaches to the sacral promontory; it was here that the fibrosis had drawn in the right ureter.
See this image and copyright information in PMC

References

    1. Samaranayake CB, Luo C, Plank AWet al Systematic review on ventral rectopexy for rectal prolapse and intussusception. Colorectal Dis 2010; 12: 504–512. - PubMed
    1. D’Hoore A, Penninckx F. Laparoscopic ventral recto(colpo)pexy for rectal prolapse: surgical technique and outcome for 109 patients. Surg Endosc 2006; 20: 1,919–1,923. - PubMed

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