How to deal with complications after laparoscopic ventral mesh rectopexy: lessons learnt from a tertiary referral centre

Abstract

LVMR can be associated with technical complications arising from inadequate technique or from operation-specific complications that are amenable to complex revisional laparoscopic surgery with significant improvement in quality of life and function.

Outcome of laparoscopic ventral mesh rectopexy for external rectal prolapse

“…Our series is important in quantifying a change in the incontinence score before and after operation. Restricting dissection to the anterior wall of the rectum may also reduce postoperative constipation [2,3,5,6,11]. Relief of sexual dysfunction was observed in this study in keeping with other studies [6,12].…”

“…This series has also demonstrated that patients with recurrence after a perineal operation can achieve the same improvement with LVMR as those undergoing primary repair. The same improvements occur when LVMR has needed to be repeated or after the development of complications [6]. Several studies have documented improvement in incontinence after rectopexy [2,3] and some have used scoring systems to demonstrate this [10].…”

“…A previous report from this institution has suggested that most complications, including recurrence after LVMR, are amenable to corrective surgery. Revisional LVMR, which may simply involve re-attaching a detached mesh, is associated with improvement in function and QOL [6].…”

“…After an initial examination of the middle and posterior compartments under anaesthetic, a laparoscopy was performed using a 10-mm 30°camera and two 5-mm operating ports. LVMR was performed as previously described [3,6]. Posterior dissection was avoided in most cases.…”

Redo laparoscopic ventral mesh rectopexies: a multimedia article on the technical points

“…Most cases of inadequate LVMR and resulting complications are amenable to remedial laparoscopic surgery as illustrated in this article [5]. Subsequent clinical reviews have shown its benefits in improved pelvic functions and patients' quality of life.…”