Laparoscopic ventral mesh rectopexy for obstructive defecation syndrome: still the way to go?

Abstract:

:Laparoscopic ventral mesh rectopexy (VMR) has become a popular surgical technique for treating women with full-thickness rectal prolapse with a low recurrence rate, as demonstrated by several studies. In addition, it is increasingly applied to female patients with obstructive defecation syndrome (ODS) caused by intussusception ± rectocele. Functional improvement can be achieved in a high number of patients with ODS, but expectations need to be discussed carefully, as a few patients may not benefit at all. In particular, long-term data on functional outcome and complications following laparoscopic VMR for ODS are still lacking in the literature. Notably, laparoscopic VMR appears to be better than alternative operations for prolapse, intussusception, and rectocele in terms of efficacy, recurrence rates, and adverse effects, but there is a lack of evidence directly comparing techniques through randomized controlled trials; thus, its exact role stills needs to be defined in the future.

journal_name

Int Urogynecol J

authors

Riss S,Winstanley J,Collie M

doi

10.1007/s00192-017-3378-4

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

979-981

issue

7

eissn

0937-3462

issn

1433-3023

pii

10.1007/s00192-017-3378-4

journal_volume

28

pub_type

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