PURPOSE: To evaluate the intraoperative, postoperative, and long-term complications of an absorbable pelvic mesh sling after surgery for @entity189 . METHODS: A retrospective review of medical records from April 8, 1991, through April 8, 1996. RESULTS: Twenty @entity1 with a mean age of 57 (range, 37-79) years underwent pelvic mesh sling placement. The @entity5 stages were as follows: Stage I, 5; Stage II, 2; Stage III, 11; and Stage @entity19 . A recurrent @entity1491 was not included in the staging group. Surgery consisted of 18 abdominoperineal resections, 1 total proctocolectomy, and one Hartmann's procedure. Mean follow-up was 18 (range, 2-49) months. There were no intraoperative complications related to mesh placement. Twenty-nine complications occurred in 14 @entity1 during the immediate postoperative period. Five were possibly mesh-related and included a @entity530 , toxic perineal wound, @entity358 , and lower extremity @entity1150 , respectively. A mild @entity86 developed in 17 @entity1 (85 percent), and a diet was initiated at a mean of seven (range, 4-24) days. Fourteen @entity1 received postoperative radiotherapy with a mean dose of 5,339 (range, 2,500-7,020) cGy delivered in 180-cGy fractions. There were 14 immediate complications caused by radiotherapy in 11 @entity1 , but only two @entity1 required delays in treatment. Two @entity1 had @entity294 alone, six developed perineal @entity1909 alone, and three @entity1 had both @entity294 and perineal @entity1909 . All @entity1 with @entity294 had received chemoradiation. One @entity1 developed a @entity1744 following radiation. CONCLUSIONS: Absorbable pelvic mesh sling placement can be performed with minimum morbidity and is recommended following surgery for @entity5 when radiation is anticipated as part of multimodality therapy.

Complications of absorbable pelvic mesh slings following surgery for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'rectal cancer'] @entity19 :: ('10090', 'Species') :: ['IV, 1'] @entity294 :: ('MESH:D003967', 'Disease') :: ['diarrhea'] @entity189 :: ('MESH:D002277', 'Disease') :: ['rectal carcinoma'] @entity530 :: ('MESH:D010386', 'Disease') :: ['pelvic abscess, perineal seroma'] @entity1150 :: ('MESH:D020246', 'Disease') :: ['deep venous thrombosis'] @entity1744 :: ('MESH:D043183', 'Disease') :: ['partial small-bowel obstruction'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary embolus'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative ileus'] @entity1909 :: ('MESH:D003872', 'Disease') :: ['dermatitis'] @entity1491 :: ('MESH:D002280', 'Disease') :: ['perianal basal cell carcinoma']
@entity189 :: (MESH:D002277,Disease) :: ['rectal carcinoma']
