Ventral Mesh Rectopexy

Abstract

P elvic organ prolapse is a spectrum of anatomic abnormalities including rectocele, enterocele, rectal intussusception, rectal prolapse, and abnormal perineal descent, which cause significant morbidity. Pelvic discomfort, chronic drainage of blood and/or mucous from the anus, fecal incontinence, and constipation/ obstructed defecation symptoms are associated with prolapse of the pelvic organs. 1 the Women's health initiative reported that 41% of women ages 50 to 79 years showed some degree of symptomatic pelvic organ prolapse. in addition, ≈400,000 surgical procedures are performed annually, and 11% of women have an operative procedure for pelvic organ prolapse before the age of 80 years. 2,3 this article discusses the rationale for considering ventral mesh rectopexy as the standard for the surgical management of pelvic organ prolapse.

Laparoscopic ventral rectopexy: A viable option in procidentia with redundant sigmoid – An Indian perspective

“…Three randomised trials have shown an improvement in constipation by avoiding division of the lateral ligaments. [ 13 14 15 ] Resection of the sigmoid colon has been recommended in patients with redundant sigmoid to improve constipation. [ 9 ] However, in our study, redundant sigmoid was present in 22 out of 25 patients.…”