pelviperineology. 2013; 32(4): 104-109 | DOI:

Total pelvic floor repair using a polypropylene mesh. Personal modification

TOMASZ KO?CI?SKI¹, JACEK SZMEJA¹, TOMASZ BANASIEWICZ^1
1Department of General Surgery, University of Medical Sciences, Poznan, Poland

The authors present their personal modification of surgical repair for a complex pelvic floor pathology. In a 58 year old woman rectal prolapse, genital organs prolapse, descending perineum, rectocele and enterocele together with left colon diverticulitis were diagnosed. Subsequent steps of the surgery were: left colectomy, hysterectomy and reconstruction of pelvic fascio-muscular structures using a polypropylene mesh. An abdomino-perineal approach was used to suture the mesh to the perineal body and to the muscles of pelvic floor. Its upper part was fixed to the presacral fascia at S1/S2 level. The rectum and the vaginal stump were anchored to this scaffold. The anatomical and functional 12-month results were excellent.

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Cite This Article

KO?CI?SKI T, SZMEJA J, BANASIEWICZ T. Total pelvic floor repair using a polypropylene mesh. Personal modification. 2013; 32(4): 104-109

Corresponding Author: KO?CI?SKI T.

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