Ventral rectal sacropexy (colpo-perineal) in the treatment of rectal and rectogenital prolapse

Ventral colporectopexy for overt rectal prolapse and obstructed defaecation syndrome: a systematic review

“…A synthetic prosthesis (Marlex, polypropylene, Goretex or polyester) was used in all but four studies. Of these two used a biological mesh (Permacol ® ; Covidien, New Haven, Connecticut, USA) and in the other two both synthetic and biological meshes were used. In all, 1319 patients had a synthetic mesh and 141 a biological one.…”

“…Port site infection or haematoma ranged from 0.7 to 5.9% (eight studies ) and port site hernias occurred in 0–7.1% (six studies ). Urinary dysfunction and/or infection occurred in 0–11.7% of patients . Chronic abdominal or pelvic pain, ileus and cardiopulmonary complications occurred in 0–28.6% .…”

“…Urinary dysfunction and/or infection occurred in 0–11.7% of patients . Chronic abdominal or pelvic pain, ileus and cardiopulmonary complications occurred in 0–28.6% .…”

“…Nine studies assessed VR for ODS and seven for ODS or ORP to include a total of 799 (98.6% female) patients. (Table ).…”

The role of biologics in pelvic floor surgery

“…This was however a heterogeneous series covering disorders in all three pelvic floor compartments and few patients actually had LVMR. Further analysis showed all these patients had middle/anterior compartment symptoms and only 9% required re‐intervention [9]. This paper raises the question of how clinical recurrence is assessed.…”