{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:39Z","timestamp":1756425759652,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,5]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Rectal erosions after ventral rectopexy (VR) is an uncommon but challenging adverse event and can be associated with partial migration of the mesh into the intestinal cavity. Re-do surgery is difficult and often provides colostomy and\/or anterior rectal resections. However, no alternative solutions are described in the available literature. An 82-year-old woman presented to our hospital for rectal erosion and intraluminal migration of the mesh placed at a 1-year laparoscopic VR. We performed an innovative totally endoscopic approach, using thulium laser and two endoscopes, that led to a successful removal of the mesh. The described mini-invasive technique can be an effective alternative to surgery in tertiary referral centres.<\/jats:p>","DOI":"10.1136\/bcr-2020-235807","type":"journal-article","created":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T11:41:54Z","timestamp":1609760514000},"page":"e235807","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Thulium laser to endoscopically manage a rectal erosion and intraluminal mesh migration after ventral rectopexy"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4975-018X","authenticated-orcid":false,"given":"Lorenzo","family":"Dioscoridi","sequence":"first","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Pugliese","sequence":"additional","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camillo Leonardo","family":"Bertoglio","sequence":"additional","affiliation":[{"name":"Oncological and Mininvasive Surgery, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimiliano","family":"Mutignani","sequence":"additional","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,4]]},"reference":[{"key":"2025082723401676000_14.1.e235807.1","doi-asserted-by":"crossref","first-page":"46","DOI":"10.3393\/ac.2017.33.2.46","article-title":"Synthetic versus biological Mesh-Related erosion after laparoscopic ventral mesh rectopexy: a systematic review","volume":"33","author":"Balla","year":"2017","journal-title":"Ann Coloproctol"},{"key":"2025082723401676000_14.1.e235807.2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000402"},{"key":"2025082723401676000_14.1.e235807.3","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1055\/s-0042-122014","article-title":"Thulium laser in interventional endoscopy: animal and human studies","volume":"49","author":"Tontini","year":"2017","journal-title":"Endoscopy"},{"key":"2025082723401676000_14.1.e235807.4","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.gie.2019.02.014","article-title":"Thulium laser coagulation: a new effective endotherapy to treat gastrointestinal angiodysplasia","volume":"90","author":"Dioscoridi","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"2025082723401676000_14.1.e235807.5","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1089\/end.2017.0915","article-title":"Thulium laser treatment of upper urinary tract carcinoma: a multi-institutional analysis of surgical and oncological outcomes","volume":"32","author":"Musi","year":"2018","journal-title":"J Endourol"},{"key":"2025082723401676000_14.1.e235807.6","doi-asserted-by":"crossref","first-page":"E112","DOI":"10.1055\/a-0983-8278","article-title":"Thulium laser to manage a difficult biliary lithiasis: a first case report","volume":"52","author":"Mutignani","year":"2020","journal-title":"Endoscopy"},{"key":"2025082723401676000_14.1.e235807.7","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.ijsu.2015.06.055","article-title":"Intrarectal migration of mesh following rectopexy: case series and review of literature","volume":"20","author":"Patil","year":"2015","journal-title":"Int J Surg"},{"key":"2025082723401676000_14.1.e235807.8","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1055\/s-0038-1677024","article-title":"Recognition and management of colonic perforation following endoscopy","volume":"32","author":"Thompson","year":"2019","journal-title":"Clin Colon Rectal Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-235807","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:40:22Z","timestamp":1756363222000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-235807"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,4]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-235807"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-235807","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}