{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T02:49:31Z","timestamp":1789526971665,"version":"build-2803163510"},"reference-count":11,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,5,20]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>A 77-year-old woman who underwent an uncomplicated laparoscopic mesh sacrohysteropexy (LMH) in 2009 for uterovaginal prolapse, presented with features of small bowel obstruction (SBO) 9 years later. She underwent laparotomy which revealed that the sacrohysteropexy mesh had eroded into the small bowel causing complete obstruction, complicated by ischaemia and perforation. Small bowel resection and primary anastomosis was performed, and the patient had an uneventful postoperative recovery. Although rare, cases of SBO occurring secondary to the use of a synthetic mesh in LMH have been reported. This is the first reported case of SBO directly attributable to erosion of mesh into the small bowel itself. Given the increasing frequency of women undergoing surgical management of pelvic organ prolapse which involves techniques using synthetic mesh, it is important to consent patients appropriately for such life-threatening risks and to focus on the development of surgical techniques and mesh materials to minimise such complications.<\/jats:p>","DOI":"10.1136\/bcr-2018-226309","type":"journal-article","created":{"date-parts":[[2019,5,30]],"date-time":"2019-05-30T06:35:14Z","timestamp":1559198114000},"page":"e226309","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Generalised peritonitis from strangulated small bowel obstruction secondary to mesh erosion: a rare long-term complication of laparoscopic mesh sacrohysteropexy"],"prefix":"10.1136","volume":"12","author":[{"given":"Constantinos","family":"Simillis","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"},{"name":"Department of Surgery and Cancer, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"James","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiranpreet","family":"Gill","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yimeng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,5,29]]},"reference":[{"key":"2025082623392114000_12.5.e226309.1","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s00192-013-2129-4","article-title":"Laparoscopic hysteropexy: a novel technique for uterine preservation surgery","volume":"25","author":"Rahmanou","year":"2014","journal-title":"Int Urogynecol J"},{"key":"2025082623392114000_12.5.e226309.2","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1007\/s00192-016-3257-4","article-title":"Laparoscopic hysteropexy: 10\u00a0years' experience","volume":"28","author":"Jefferis","year":"2017","journal-title":"Int Urogynecol J"},{"key":"2025082623392114000_12.5.e226309.3","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1002\/nau.23026","article-title":"Efficacy and pregnancy outcomes of laparoscopic single sheet mesh sacrohysteropexy","volume":"36","author":"Pandeva","year":"2017","journal-title":"Neurourol Urodyn"},{"key":"2025082623392114000_12.5.e226309.4","doi-asserted-by":"crossref","first-page":"38.e1","DOI":"10.1016\/j.ajog.2016.08.035","article-title":"Vaginal and laparoscopic mesh hysteropexy for uterovaginal prolapse: a parallel cohort study","volume":"216","author":"Gutman","year":"2017","journal-title":"Am J Obstet Gynecol"},{"key":"2025082623392114000_12.5.e226309.5","doi-asserted-by":"crossref","first-page":"677","DOI":"10.17235\/reed.2015.3863\/2015","article-title":"Small bowel obstruction due to laparoscopic barbed sutures: An unknown complication?","volume":"107","author":"Segura-Sampedro","year":"2015","journal-title":"Revista Espa\u00f1ola de Enfermedades Digestivas"},{"key":"2025082623392114000_12.5.e226309.6","unstructured":"Royal College of Obstetricians & Gynaecologists. 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