Problems of pelvic infection following rectopexy using synthetics and its treatment
Wedell, J.; Schlageter, M.; Meier zu Eissen, P.; Banzhaf, G.; Castrup, W.; van Calker, H.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 58(6): 423-427
1987
ISSN/ISBN: 0009-4722 PMID: 3608696 Document Number: 293538
The complication of the infected Ivalon-sponge after rectopexy is described in five patients. In two patients the pelvic sepsis perforated spontaneously into the vagina and in another two patients the pelvic abscess perforated through the levator muscles into the ischio-rectal fossa formating a typical horse-shoe abscess in one case. The management of choice in cases of pelvic sepsis is the complete removal of the infected Ivalon-sponge. We personally prefer the laparotomy for the complete removal of the prosthesis and not the removal through the vagina or through the rectum.