Laparoscopic resection rectopexy versus laparoscopic ventral rectopexy for complete rectal prolapse

Abstract

Both LVR and LRR are effective for the treatment for RP. Although both techniques offer significant improvements in functional symptoms, continence may be better after LRR. However, LRR also had a higher complication rate then did LVR.

European Society of Coloproctology guidance on the use of mesh in the pelvis in colorectal surgery

“…Twenty‐four studies reported mesh fixation methods: 10 studies used sutures [8,9,15,17,30,36,41,50,51,86] and the remaining studies (14) used ProTack™, spiked chromium or staplers [6,7,13,14,19,20,33,35,40,44,46,48,49,79].…”

“…Five studies compared mesh rectopexy against suture rectopexy (two with additional sigmoid resection), and two studies compared mesh rectopexy against Delorme's procedure. Only one study [7] used an anterior mesh rectopexy, giving 31.1% weight in the total effect analysis. The rest were posterior in two, Orr–Loygue (two), Ripstein technique (one) and in one study the technique was not clear [78].…”

“…The same 25 studies used in the previous section 6.7.1 were analysed [6,7,8,9,13,14,15,17,19,20,30,33,35,36,40,41,43,44,46,48,49,51,52,79,85]. The pooled results showed that the overall complication rate was 21.7% with use of ProTack™/staples compared with 8.5% with suture fixation of mesh.…”

Ten‐year follow up after laparoscopic suture rectopexy for full‐thickness rectal prolapse

“…In fact, a recent systematic review of 728 patients who underwent ventral rectopexy reported decreased postoperative constipation in cases where posterior rectal mobilization was avoided . Interestingly, constipation rates did not differ in patients who had laparoscopic ventral rectopexy compared with laparoscopic resection rectopexy .…”

Laparoscopic ventral rectopexy for rectal prolapse and rectal intussusception using a biological mesh

“…Several studies, although heterogeneous and small in size, show an improvement in constipation and faecal incontinence following LVR, with recurrence, morbidity and mortality comparable with those of other forms of rectopexy . A systematic review by Samaranayake et al .…”