Current status of laparoscopic and robotic ventral mesh rectopexy for external and internal rectal prolapse.
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.
Jan J van Iersel, Tim JC Paulides, Paul M Verheijen, Ivo AMJ Broeders, Esther CJ Consten, Meander Medical Centre, Department of Surgery, 3813 TZ Amersfoort, The Netherlands.
Jan J
JJ
van Iersel
Jan J van Iersel, Tim JC Paulides, Paul M Verheijen, Ivo AMJ Broeders, Esther CJ Consten, Meander Medical Centre, Department of Surgery, 3813 TZ Amersfoort, The Netherlands.
Tim J C
TJ
Paulides
Jan J van Iersel, Tim JC Paulides, Paul M Verheijen, Ivo AMJ Broeders, Esther CJ Consten, Meander Medical Centre, Department of Surgery, 3813 TZ Amersfoort, The Netherlands.
Paul M
PM
Verheijen
Jan J van Iersel, Tim JC Paulides, Paul M Verheijen, Ivo AMJ Broeders, Esther CJ Consten, Meander Medical Centre, Department of Surgery, 3813 TZ Amersfoort, The Netherlands.
John W
JW
Lumley
Jan J van Iersel, Tim JC Paulides, Paul M Verheijen, Ivo AMJ Broeders, Esther CJ Consten, Meander Medical Centre, Department of Surgery, 3813 TZ Amersfoort, The Netherlands.
Ivo A M J
IA
Broeders
Jan J van Iersel, Tim JC Paulides, Paul M Verheijen, Ivo AMJ Broeders, Esther CJ Consten, Meander Medical Centre, Department of Surgery, 3813 TZ Amersfoort, The Netherlands.
Esther C J
EC
Consten
D003672:Defecation; D005242:Fecal Incontinence / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000295:instrumentation*; D011183:Postoperative Complications / Q000209:etiology; D020127:Recovery of Function; D012005:Rectal Prolapse / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D012307:Risk Factors; D012371:Robotics / Q000295:instrumentation*; D013526:Surgical Mesh; D016896:Treatment Outcome
Biological mesh; External rectal prolapse; Faecal incontinence; Internal rectal prolapse; Laparoscopic ventral mesh rectopexy; Mesh erosion; Obstructed defecation; Rectal prolapse; Rectocele; Robot