Current status of laparoscopic and robotic ventral mesh rectopexy for external and internal rectal prolapse.

Abstract:

:External and internal rectal prolapse with their affiliated rectocele and enterocele, are associated with debilitating symptoms such as obstructed defecation, pelvic pain and faecal incontinence. Since perineal procedures are associated with a higher recurrence rate, an abdominal approach is commonly preferred. Despite the description of greater than three hundred different procedures, thus far no clear superiority of one surgical technique has been demonstrated. Ventral mesh rectopexy (VMR) is a relatively new and promising technique to correct rectal prolapse. In contrast to the abdominal procedures of past decades, VMR avoids posterolateral rectal mobilisation and thereby minimizes the risk of postoperative constipation. Because of a perceived acceptable recurrence rate, good functional results and low mesh-related morbidity in the short to medium term, VMR has been popularized in the past decade. Laparoscopic or robotic-assisted VMR is now being progressively performed internationally and several articles and guidelines propose the procedure as the treatment of choice for rectal prolapse. In this article, an outline of the current status of laparoscopic and robotic ventral mesh rectopexy for the treatment of internal and external rectal prolapse is presented.

journal_name

World J Gastroenterol

authors

van Iersel JJ,Paulides TJ,Verheijen PM,Lumley JW,Broeders IA,Consten EC

doi

10.3748/wjg.v22.i21.4977

subject

Has Abstract

pub_date

2016-06-07 00:00:00

pages

4977-87

issue

21

eissn

1007-9327

issn

2219-2840

journal_volume

22

pub_type

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