Laparoscopy for pelvic floor disorders.
Surgical treatment of pelvic floor disorders has significantly evolved during the last decade, with increasing understanding of anatomy, pathophysiology and the minimally-invasive 'revolution' of laparoscopic surgery. Laparoscopic pelvic floor repair requires a thorough knowledge of pelvic floor anatomy and its supportive components before repair of defective anatomy is possible. Several surgical procedures have been introduced and applied to treat rectal prolapse syndromes. Transabdominal procedures include a variety of rectopexies with the use of sutures or prosthesis and with or without resection of redundant sigmoid colon. Unfortunately there is lack of one generally accepted standard treatment technique. This article will focus on recent advances in the management of pelvic floor disorders affecting defecation, with a brief overview of contemporary concepts in pelvic floor anatomy and different laparoscopic treatment options.
Department of Abdominal Surgery, University Hospitals Gasthuisberg, Leuven, Belgium. Electronic address: bartvangeluwe@hotmail.com.
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Van Geluwe
Department of Abdominal Surgery, University Hospitals Gasthuisberg, Leuven, Belgium.
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Wolthuis
Department of Abdominal Surgery, University Hospitals Gasthuisberg, Leuven, Belgium.
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D'Hoore
D003672:Defecation; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D017773:Pelvic Floor / Q000503:physiopathology / Q000601:surgery*; D059952:Pelvic Floor Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D012005:Rectal Prolapse / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D012371:Robotics; D025321:Surgery, Computer-Assisted; D016896:Treatment Outcome
Enterocele; Laparoscopy; Pelvic floor disorders; Rectal prolapse; Rectocele; Sigmoidocele