Laparoscopic ventral mesh rectopexy in male patients with internal or external rectal prolapse

Abstract

LVMR is an effective treatment for external and symptomatic internal rectal prolapse in men, leading to significant improvement in QoL and function.

Abdominal rectopexy for the treatment of internal rectal prolapse: a systematic review and meta‐analysis

“…All patients had internal rectal prolapse (IRP) diagnosed clinically, by defaecography and/or by examination under anaesthesia. Eight studies , including 971 patients, reported the presence of a concomitant anterior rectocele in 671 (69.1%) patients. Ten studies, which included 1158 patients, classified rectoanal intussusception according to the Oxford grading system as Grade I–II in 50 (4.4%) patients and Grade III–V in 1108 (95.6%).…”

“…The median operation time was 110 (60–198) min in five studies. and the median length of hospital stay was 2 (1–7) days in nine studies. The median duration of follow‐up was 19 (12–76) months.…”

“…After reviewing the full text of 42 articles, 14 [14][15][16][17][18][19][20][21][22][23][24][25][26][27] met the eligibility criteria for inclusion. Thirteen studies were noncomparative cohort studies, and one was a trial comparing ventral rectopexy with STARR.…”

“…3) and the median rate of recurrence was 5.5 (0-14)%. Six studies [15,17,19,23,24,26], which included 276 patients, reported radiological evidence of IRP in the postoperative defaecogram in 21 (7.6%) patients, but eight patients were completely without clinical symptoms and were thus not considered to have recurrence. The median rate of radiographic improvement or resolution of signs of IRP was 94.5 (69.2-100)%.…”

Surgery for constipation: systematic review and practice recommendations

“…These ligaments contain nerves to the rectal wall and the resultant denervation may be the cause. In the process of developing alternative resuspending procedures, surgeons have attempted to limit the effect of the foreign material by using sutures only [5], added a resection of the sigmoid colon to the rectopexy [6][7][8] or more recently, limiting the dissection of the rectum to the ventral surface by supporting the rectum with mesh [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. In addition, laparoscopy has become the favoured approach procedurally, not only allowing a more rapid recovery but also easing access to, and visibility in the pelvis.…”