How to deal with complications after laparoscopic ventral mesh rectopexy: lessons learnt from a tertiary referral centre

Aim Laparoscopic ventral mesh rectopexy (LVMR) is increasingly recognized as having utility in rectal prolapse, obstructive defaecation syndrome (ODS), faecal incontinence (FI) and multicompartment pelvic floor dysfunction (PFD). This study aimed to highlight gaps in service provision and areas for improvement by examining a cohort of patients with complications referred to a tertiary centre. Method Examination was carried out of a password‐protected electronic database of all LVMRs operated on in one institution. Results Fifty patients (45 women), median age 54 (range, 24–71) years, were referred with early symptomatic failure (n = 27) following an inadequate LVMR or major mesh complications (erosion into another organ, fistulation or stricturing) (n = 23). All were amenable to remedial laparoscopic surgery. Functional improvements were found in pre‐ and postoperative ODS, Wexner (FI) scores (two‐tailed t‐test; P